RENIA NICOLE GAVIN


Address: 537 E John St, Springfield, OH 45505-4156
Phone: 9373193959

RENIA NICOLE GAVIN (NPI# 1922612159) 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) 1922612159
Entity Type Individual
Full Name RENIA NICOLE GAVIN
Practice Address 537 E John St
Springfield
OH 45505-4156
Practice Telephone 9373193959
Mailing Telephone 9373193959
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 0001864 OH Other Service Providers

Office Location

Street Address 537 E JOHN ST
City SPRINGFIELD
State OH
Zip Code 45505-4156

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871089680 Jessica Renee Wallace Nurse Practitioner 1821 E. High St., Springfield, OH 45505 2018-07-04
1912317108 Merek Ramirez Counselor 363 S Burnett Road, Back Office, Springfield, OH 45505 2014-04-28
1760736045 Pamela Kay Beatty Licensed Practical Nurse 422 Rice St, Springfield, OH 45505 2012-11-07
1285997676 Tylin Yvette January Licensed Practical Nurse 720 Mound Street, Springfield, OH 45505 2012-06-20
1639457492 Sherry Robinette Dentist 3471 East National Road, Springfield, OH 45505 2011-07-28
1124324116 Kncc Enterprise, LLC Physical Therapist 155 South Tuttle Road, Springfield, OH 45505 2011-02-08
1316272420 Rocking Horse Children's Health Center Clinic/Center 651 South Limestone Streeet, Springfield, OH 45505 2009-10-07
1326269101 Jeffrey L Kearfott Ophthalmology 20 South Burnett, Springfield, OH 45505 2007-05-01
1932274511 Whitacre Pharmacies LLC Pharmacy 1816 S Limestone St, Springfield, OH 45505 2006-11-21
1114024569 Clark County Sheriff's Office Public Health or Welfare 3130 E. National Rd., Springfield, OH 45505 2006-09-20
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649887993 Patricia A Mairet Peer Specialist 23 W College Ave, Springfield, OH 45504-2506 2020-09-29
1417568197 Skylar Lane Mcnutt Peer Specialist 4473 Phoenix Dr, Springfield, OH 45503-6325 2020-08-14
1235749326 Lacasta Greene Peer Specialist 1375 Beverly Ave, Springfield, OH 45504-1943 2020-08-04
1023631686 Teresa Ann Evans Peer Specialist 701 E Cassilly St, Springfield, OH 45503-3711 2020-05-18
1821624214 Jessica Nicole Castello Peer Specialist 2 W Leffel Ln, Springfield, OH 45506-3520 2020-03-17
1992337083 Linda Daily Leonhard Peer Specialist 551 Kingswood Dr N, Springfield, OH 45503-2305 2020-02-07
1073156477 Keith Alan Robinson Peer Specialist 2680 E High St, Springfield, OH 45505-1400 2019-10-18
1356801187 Ashley Monique Harris Peer Specialist 18 E Southern Ave, Springfield, OH 45506-2647 2019-03-20
1902380017 Choice Recovery Coaching Inc. Peer Specialist 155 Maple St., Suite 305, Springfield, MA 01105 2018-09-24
1033638275 Stephen Douglas Bowman Peer Specialist 1115 Farlow St, Springfield, OH 45503-4337 2017-09-19
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Competitor

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City SPRINGFIELD
Zip Code 45505

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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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