KAITLYN H GAVAZA (NPI# 1043775539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043775539 |
| Entity Type | Individual |
| Full Name | KAITLYN H GAVAZA |
| Credential | PA |
| Practice Address |
2088 S Independence Blvd Ste 103 Virginia Beach VA 23453-4790 |
| Mailing Address |
Po Box 7068 Portsmouth VA 23707-0068 |
| Practice Telephone | 7572759331 |
| Practice Fax Number | 7574167656 |
| Mailing Telephone | 7576863508 |
| Mailing Fax Number | 7576860541 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0110006561 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1168 First Colonial Rd, Virginia Beach, VA 234542444 | 7573522020 | 7573522021 |
| 3060 Godwin Blvd, Suffolk, VA 234348274 | 7579355310 | 7579355311 |
| 725 Volvo Pkwy, Chesapeake, VA 233201621 | 7578424100 | 7574103562 |
| Street Address |
2088 S INDEPENDENCE BLVD STE 103 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-4790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099603 | Biswa Bhattacharyya | Family Medicine | 2088 S Independence Blvd Ste 103, Virginia Beach, VA 23453-4790 | 2005-11-09 |
| 1639735996 | Breanna Barbeau | Physician Assistant | 2088 S Independence Blvd Ste 103, Virginia Beach, VA 23453-4790 | 2019-05-13 |
| 1265787832 | Arlene Floranza Page | Physician Assistant | 2088 S Independence Blvd Ste 103, Virginia Beach, VA 23453-4790 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1407462575 | Jody Lynn Glass | Nurse Practitioner | 1567 Back Bay Landing Rd, Virginia Beach, VA 23457-1338 | 2020-09-23 |
| 1063027373 | Karen Elaine Callaway | Nurse Practitioner | 937 Sunnyside Dr, Virginia Beach, VA 23464-2128 | 2020-09-14 |
| 1477177582 | Laura Michelle Rossin | Nurse Practitioner | 736 Sequoia Way, Virginia Beach, VA 23451-4471 | 2020-06-04 |
| 1356964373 | A New Day Healthcare | Nurse Practitioner | 1604 Hilltop West Ctr Ste 215, Virginia Beach, VA 23451-6196 | 2020-05-26 |
| 1710508049 | Christina Barnett | Nurse Practitioner | 1413 Dermott Ave, Virginia Beach, VA 23455-4119 | 2020-04-28 |
| 1336769934 | Leah Rose | Nurse Practitioner | 4477 Pissarro Dr, Virginia Beach, VA 23456-5468 | 2020-04-23 |
| 1174151310 | Angela Fleetwood | Nurse Practitioner | 5712 Bannock Rd, Virginia Beach, VA 23462-3904 | 2020-04-01 |
| 1508498676 | John Charles Rowe Jr. | Nurse Practitioner | 4812 Station House Ln, Virginia Beach, VA 23455-1935 | 2020-02-06 |
| 1356997613 | Alfreda Curtis | Nurse Practitioner | 1527 Brendle Ct, Virginia Beach, VA 23464-6761 | 2019-08-13 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on KAITLYN H GAVAZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.