Pamela J Gavin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30521 Issued in WV

Practice address

103 Marcley Dr
Martinsburg, WV 25401-2977

Phone

(304) 263-0964

Fax

(304) 267-3899

NPI assigned

Oct 26, 2005

Last updated

Jun 2, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1942290317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-0964",
            "fax_number": "304-267-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "30521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Kirby Garrett, TRANSPORTATION
• Garrison V. Morin Dba Mountain State ENT Center
• Keshia Lyn Gaskins, PTA
• Gastroenterology Associates of the Shenandoah Valley, Inc
• Ellen Gavin, PT, DPT
• Diana Marilyn Gaviria, MD
• Shelly Ann Gayle
• Lillian Cecile Gebert, LCSW
• Yonas Gebeyehu, MD
• Susan M Geiser

• Family Nurse Practitioner in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.