Individual provider Active NPI

Reid Bonner Gavin, AU.D.

  • Audiologist
  • Nashville, TN
National Provider Identifier
1578710208
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0000001566 Issued in TN
Practice address
1301 Medical Center Dr
Suite B724F
Nashville, TN 37232-5735
Phone
(615) 343-4095
Fax
(615) 936-3522
NPI assigned
Aug 25, 2008
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0000001566 TN Primary

Addresses

Primary practice location

1301 Medical Center Dr
Suite B724F
Nashville, TN 37232-5735

Mailing address

1301 Medical Center Dr
Suite B724F
Nashville, TN 37232-5735
Phone (615) 343-4095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A0000001566TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Monitoring Services LLC Current Accepting new patients
Scripps Health Current Accepting new patients
Advanced Monitoring Services, Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: greid179478@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1578710208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL CENTER DR",
            "address_2": "SUITE B724F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325735",
            "telephone_number": "615-343-4095",
            "fax_number": "615-936-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL CENTER DR",
            "address_2": "SUITE B724F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325735",
            "telephone_number": "615-343-4095",
            "fax_number": "615-936-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "REID",
        "middle_name": "BONNER",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.