JESSICA MARY GAVIN
NPI 1467034462
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since April 28, 2021
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Mary Gavin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARY GAVIN (NPI 1467034462) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1467034462
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA MARY GAVIN
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address375 S Chipeta WaySalt Lake City, UT 84108-1260 · (801) 581-7766
Sole ProprietorNo
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1467034462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
375 S CHIPETA WAY, Salt Lake City, UT 84108

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Gavin's NPI number?

The NPI number for Jessica Gavin is 1467034462. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Jessica Gavin located?

Jessica Gavin practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-7766.

What is Jessica Gavin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Gavin was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.