Individual provider Active NPI

Roxanne Gavlinski, APRN

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1649042003
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4011226 Issued in KY
Practice address
238 Cassidy Blvd
Pikeville, KY 41501-1426
Phone
(606) 430-2230
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4011226 KY Primary

Addresses

Primary practice location

238 Cassidy Blvd
Pikeville, KY 41501-1426

Mailing address

PO Box 432
Pikeville, KY 41502-0432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgavlinski20902@PIKEVILLEDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001306 KY Practitioner - Nurse Practitioner 1759734619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

238 Cassidy Blvd
Pikeville, KY 41501-1426
Phone (606) 430-2230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Dec 1, 2023 Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 1, 2023 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

Interoperability endpoints

  • Direct secure messaging: rgavlinski20902@pikevilledirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1649042003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CASSIDY BLVD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011426",
            "telephone_number": "606-430-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVLINSKI",
        "first_name": "ROXANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4011226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgavlinski20902@PIKEVILLEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct access for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "238 Cassidy Blvd",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.