Roger Louis Gavi, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

R59159 Issued in NM

Practice address

3604 Cameo Dr SE
Albuquerque, NM 87105-0204

Phone

(505) 340-1171

NPI assigned

Jan 28, 2010

Sex

Male

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1770814915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CAMEO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871050204",
            "telephone_number": "505-340-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CAMEO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871050204",
            "telephone_number": "505-340-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVI",
        "first_name": "ROGER",
        "middle_name": "LOUIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NM",
            "license": "R59159",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R59159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Gautreaux
• Doug Gautreaux, CRNA
• Rubi Gabriela Gauzin Amaya
• Christopher Gavaldon, PA-C
• Dominic Gavi
• Camille Gavin
• Katherine J Gavin, M.D.
• Michael W Gavin, MD
• Chakri Gavva, M.D.
• Monika Gawne, CSW

• Gerontology Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gerontology Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.