John Kennedy Gavin

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

01439 Issued in RI

Practice address

246 Centerville Road (Prima Deana Salon)
Warwick, RI 02886

Phone

(401) 692-5158

NPI assigned

Jul 16, 2021

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1720650815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROSEWOOD AVENUE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02905",
            "telephone_number": "401-692-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CENTERVILLE ROAD (PRIMA DEANA SALON)",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-692-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "JOHN",
        "middle_name": "KENNEDY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7829",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "7209",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "01439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateways to Change, Inc
• Gateways to Change, Inc.
• Lynn Louise Gauman, MA CCC SLP
• Haley Susan Gauthier, NP
• Mark James Gauthier, APRRN
• Karen E Gavin, BA
• Sarah Elizabeth Gavin, DC
• Emily Gavitt, CCC-SLP
• Joseph F Geary, LICSW
• Nicole Geca, BCBA

• Massage Therapist in Warwick, RI
• Providers in Warwick, RI by specialty
• Massage Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.