Active NPI
Elizabeth Ann Gavin, ARNP
- Family Nurse Practitioner
- Concord, NH
National Provider Identifier
1821040551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 047434-23-03
- Practice address
- 36 Clinton St
Concord, NH 03301-2359 - Phone
- (603) 271-5300
- NPI assigned
- May 17, 2006
- Sex
- Female
- 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 | 047434-23-03 | NH | Primary |
Addresses
Primary practice location
36 Clinton St
Concord, NH 03301-2359
Mailing address
36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047434-23 | Other | NH | RN |
| 047434-23-03 | Other | NH | ARNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1821040551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "047434-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "047434-23",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "047434-23-03",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.