Patricia Tavaziva, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004751 Issued in NC

Practice address

1041 Noell LN
Suite 105
Rocky Mount, NC 27804-2058

Phone

(252) 451-2700

Fax

(252) 451-2702

NPI assigned

May 10, 2010

Last updated

Apr 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1841518255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7867",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040867",
            "telephone_number": "252-451-2700",
            "fax_number": "252-451-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 NOELL LN",
            "address_2": "SUITE 105",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042058",
            "telephone_number": "252-451-2700",
            "fax_number": "252-451-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAZIVA",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004730",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Thomas Tabak, BCBA
• Tonique Tabron, FNP-BC
• Olivia Talarico, PA
• Deborah Tang
• Tar River Mission Clinic, Inc.
• Braxton Joshua Taylor, MSW, LCSWA
• Drue Miller Taylor, PHYSICAL THERAPIST
• Mary Allison Taylor, PA
• Tevin Linear Taylor, DPT
• Tbotts

• Family Nurse Practitioner in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.