Individual provider Active NPI

Gauri S Chavan, LAT, ATC

  • Athletic Trainer
  • Falls Church, VA
National Provider Identifier
1962930669
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0000357 Issued in MD
Practice address
7799 Leesburg Pike Ste 500
Falls Church, VA 22043-2408
Phone
(703) 483-4300
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A0000357 MD Primary

Addresses

Primary practice location

7799 Leesburg Pike Ste 500
Falls Church, VA 22043-2408

Mailing address

11203 Golden Meadow CT
Germantown, MD 20876-1740

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A0000357MDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1962930669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 GOLDEN MEADOW CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208761740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 LEESBURG PIKE STE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432408",
            "telephone_number": "703-483-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAN",
        "first_name": "GAURI",
        "middle_name": "S",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.