Jill Lorraine Gavasto

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

273254 Issued in PA

Practice address

709 4TH Ave
Ford City, PA 16226

Phone

(724) 954-2504

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jill Lorraine Peat Former name

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1891506663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 4TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "16226",
            "telephone_number": "724-954-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 4TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "16226",
            "telephone_number": "724-954-2504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20176 Vanguard Ter",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "33954",
            "country_code": "US",
            "telephone_number": "724-954-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVASTO",
        "first_name": "JILL",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5264837",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "273254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PEAT",
            "middle_name": "LORRAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family a.C.T.S., Inc.
• Angela Rae Fink, D.C.
• Ford City Family Practice
• Ford City Hose Co #1 Ambulance Service
• Robert Charles French, L.P.C.
• Philip A Gelacek, M.D.
• Grace Is Within LLC
• George R Gribik, RPH
• Kristie Hunter Jack
• Keystone Rehabilitation Systems Inc

• Licensed Practical Nurse in Ford City, PA
• Providers in Ford City, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.