Active NPI
Callie Avis, FNP-C
- Family Nurse Practitioner
- Fall River, MA
National Provider Identifier
1619248283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2275945
- Practice address
- 400 Stanley St
Fall River, MA 02720-6009 - Phone
- (508) 675-1054
- NPI assigned
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPP00280 | RI | |
| Family Nurse Practitioner | 363LF0000X | RN2275945 | MA | Primary |
Addresses
Primary practice location
400 Stanley St
Fall River, MA 02720-6009
Mailing address
400 Stanley St
Fall River, MA 02720-6009
Phone (508) 675-1054
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2275945 | MA | MD | Family Nurse Practitioner |
| NPP00280 | RI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1619248283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-675-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 STANLEY ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027206009",
"telephone_number": "508-675-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVIS",
"first_name": "CALLIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "NPP00280",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2275945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.