KAITLYN AVERY GORMAN


Address: 5116 Conchos Trl, Arlington, TX 76017-3024
Phone: 4693636129

KAITLYN AVERY GORMAN (NPI# 1194388561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194388561
Entity Type Individual
Full Name KAITLYN AVERY GORMAN
Practice Address 5116 Conchos Trl
Arlington
TX 76017-3024
Practice Telephone 4693636129
Enumeration Date 2019-04-20
Last Update Date 2019-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F07180974 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5116 CONCHOS TRL
City ARLINGTON
State TX
Zip Code 76017-3024

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City ARLINGTON
Zip Code 76017

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Dataset Information

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.

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