Active NPI
Gavin Sievers
- Family Nurse Practitioner
- Richland, WA
National Provider Identifier
1639043375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP70043949
- Practice address
- 1844 Newhaven Loop
Richland, WA 99352-7637 - Phone
- (509) 378-5163
- NPI assigned
- Oct 4, 2025
- Last updated
- Oct 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP70043949 | WA | Primary |
Addresses
Primary practice location
1844 Newhaven Loop
Richland, WA 99352-7637
Mailing address
1844 Newhaven Loop
Richland, WA 99352-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
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3416 Valley Brook Rd
Nashville, TN 37215-2021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP70043949 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1639043375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 NEWHAVEN LOOP",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993527637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 NEWHAVEN LOOP",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993527637",
"telephone_number": "509-378-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEVERS",
"first_name": "GAVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-04",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP70043949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.