Marly Gaviria, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN589495 Issued in PA

Practice address

101 S 17TH St
Allentown, PA 18104-6704

Phone

(610) 739-8820

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1629305453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 CHARLOTTE AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180453734",
            "telephone_number": "610-739-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 17TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046704",
            "telephone_number": "610-739-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIRIA",
        "first_name": "MARLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN589495",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13445700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M Gaspar, PA-C
• Gastroenterology Associates LTD
• Vivek Gautam
• George Gautreaux
• Kathleen M Gavin, MSW, LCSW
• Holly Gawel, PA-C
• Gaye C. Beatty, LLC
• Theodore H Gaylor, M.D.
• GD PA SFCD PLLC (David Strassman, DDS)
• Ethan Allen Gearhart IV, DDS

• Registered Nurse in Allentown, PA
• Providers in Allentown, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.