Individual provider Active NPI

Maren Gavia, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1932905965
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320121 Issued in AZ
Practice address
21516 N 66TH LN
Glendale, AZ 85308-6414
Phone
(626) 493-9838
NPI assigned
Feb 20, 2025
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 320121 AZ Primary

Addresses

Primary practice location

21516 N 66TH LN
Glendale, AZ 85308-6414

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

10280 N 91st Ave
Peoria, AZ 85345-6461
Phone (602) 842-9880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maren.gavia.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001082 AZ Practitioner - Nurse Practitioner 9638691256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10280 N 91St Ave
Peoria, AZ 85345-6461
Phone (602) 842-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Current Accepting new patients
Centerwell Senior Primary Care Az PC CurrentSince Apr 14, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC CurrentSince Apr 14, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Past Accepting new patients

Locations

10280 N 91st Ave
Peoria, AZ 85345
Phone (602) 842-9880

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • Direct secure messaging: maren.gavia.1@29601.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1932905965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21516 N 66TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086414",
            "telephone_number": "626-493-9838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10280 N 91st Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853456461",
            "country_code": "US",
            "telephone_number": "602-842-9880",
            "fax_number": "877-891-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIA",
        "first_name": "MAREN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "320121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maren.gavia.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10280 N 91st Ave",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853456461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.