KERRI GAVIN (NPI# 1801221205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801221205 |
| Entity Type | Individual |
| Full Name | KERRI GAVIN |
| Practice Address |
314 Coates St Bridgeport PA 19405-1606 |
| Practice Telephone | 6105194594 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004974 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821248352 | Kerri Lynn Gavin | Social Worker | 3022 Shasta Way, Santa Rosa, CA 95403-2664 | 2008-09-20 |
| Street Address |
314 COATES ST |
| City | BRIDGEPORT |
| State | PA |
| Zip Code | 19405-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342797 | Troya Champion | Home Health Aide | One Schuylkill Pkwy Building A Suite 3, Bridgeport, PA 19405 | 2019-02-14 |
| 1154736783 | Lisa Young | Social Worker | 408 E. Fourth Street, Suite 206, Bridgeport, PA 19405 | 2014-06-23 |
| 1376623090 | Evan Adelstein | Internal Medicine | 3 St Francis Way, Cranberry, PA 19405 | 2006-10-17 |
| 1265809420 | Ls Health, LLC | Pharmacy | 54 W 4th St, Suite 38, Bridgeport, PA 19405-1009 | 2015-08-24 |
| 1063960755 | Workers First Pharmacy Services LLC | Pharmacy | 207 W 4th St Ste B, Bridgeport, PA 19405-1012 | 2016-09-12 |
| 1447229794 | Samantha Wong | Dentist | 108 Dekalb St, Bridgeport, PA 19405-1017 | 2006-03-17 |
| 1952517401 | Ray S Abdallah | Chiropractor | 106 Dekalb St, Bridgeport, PA 19405-1056 | 2007-05-14 |
| 1124318803 | Dekalb Chiropractic Center | Chiropractor | 106 Dekalb St, First Floor, Bridgeport, PA 19405-1056 | 2011-04-14 |
| 1679085575 | Adam L Hoover | Psychologist | 116 W 6th St, Bridgeport, PA 19405-1110 | 2017-10-31 |
| 1124012828 | East Norriton Physicians Services | Family Medicine | 700 Dekalb St, Bridgeport, PA 19405-1149 | 2005-09-08 |
| Find all providers in zip 19405 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906648 | Sophia Rahim | Specialist/Technologist | 204 Folino Dr, Bridgeport, CT 06606-1011 | 2019-01-18 |
| 1053851253 | Marissa Dian Mason | Specialist/Technologist | 364 Ridgeway Dr, Bridgeport, WV 26330-1276 | 2017-03-07 |
| 1518358829 | Ericka Ann Ventura | Specialist/Technologist | 5350 Park Ave, Bridgeport, CT 06604-1019 | 2015-02-09 |
| 1659580553 | William Newsom | Specialist/Technologist | 1 Maroon Dr, Bridgeport, TX 76426-6741 | 2007-05-21 |
| 1114148764 | Meghan E. Kavanagh | Specialist/Technologist | University of Bridgeport, 120 Waldemere Avenue, Bridgeport, CT 06604 | 2007-05-01 |
| 1689691693 | Teresa Ann Lunsford | Specialist/Technologist | 515 Johnson Ave, Bridgeport, WV 26330-1311 | 2006-07-16 |
| 1326082447 | Jeffrey C. Stay | Specialist/Technologist | 120 Waldemere Ave, Bridgeport, CT 06604-5749 | 2006-06-16 |
| 1619577103 | Gena Fuller | Specialist/Technologist | 4675 Main St, Bridgeport, CT 06606-1813 | 2020-10-26 |
| 1457637928 | Matthew James Bain | Specialist/Technologist | 600 Main St, Bridgeport, CT 06604-5105 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 19405 |
Please comment or provide details below to improve the information on KERRI GAVIN.
| 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.