Organization Active NPI

Petrina Gavrilis FNP-BC Arnp Family Health Care Services, LLC

  • Home Health Agency
  • Olympia, WA
National Provider Identifier
1982026985
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
UBI 603-362-414 Issued in WA
Legal business name
PETRINA GAVRILIS FNP-BC ARNP FAMILY HEALTH CARE SERVICES, LLC
Practice address
6141 Kiel CT SE
Olympia, WA 98513-6539
Phone
(253) 282-7195
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Petrina E Gavrilis, FNP
Title
Family Nurse Practitioner
Phone
(253) 282-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X UBI 603-362-414 WA Primary

Addresses

Primary practice location

6141 Kiel CT SE
Olympia, WA 98513-6539

Mailing address

6141 Kiel CT SE
Olympia, WA 98513-6539
Phone (253) 282-7195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1982026985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 KIEL CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136539",
            "telephone_number": "253-282-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 KIEL CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136539",
            "telephone_number": "253-282-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRINA GAVRILIS FNP-BC ARNP FAMILY HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "GAVRILIS",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "253-282-7195",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "UBI 603-362-414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.