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KATHY GAVIN FNP
NPI 1770598559
Nurse Practitioner in Ponderay, ID

Active since July 30, 2006
30410 HIGHWAY 200, PONDERAY, ID 83852(208) 263-1345(208) 255-5531 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Gavin Fnp NPPES

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

KATHY GAVIN FNP (NPI 1770598559) is an individual nurse practitioner in Ponderay, Idaho, licensed in Idaho (NP-257A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1770598559
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHY GAVINCredential: FNP
Location Address30410 HIGHWAY 200Ponderay, ID 83852-9601
Mailing Address30410 Highway 200Ponderay, ID 83852-9601 · (208) 263-1345 · Fax (208) 255-5531
Phone(208) 263-1345
Fax(208) 255-5531
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateDecember 13, 2007
✔ NPI 1770598559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · NP-257A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
30410 HIGHWAY 200, Ponderay, ID 83852
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Other Identifiers 2

Medicare ID-Type Unspecified1341497ID
Medicare UPINR31453ID

Other Providers at the Same Location NPPES 13

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

DR. NANCY J SCHMIDT PHD, CADC, MAC, CHES
Counselor (Addiction (Substance Use Disorder))
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
BRADLEY OWENS PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
DR. DANIEL GRANT FREEMAN JEFFERIES DMD
Dentist
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
MR. ADAM KUSLER LCSW
Social Worker (Clinical)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
MEGAN DELANEY-JOHNSON
Social Worker
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Non-Pharmacy Dispensing Site
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 265-6252
LINSEY LADONNA KUCHERRY
Massage Therapist
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-3211
MICHELLE POELSTRA
Registered Nurse (General Practice)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-3211

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 Kathy Gavin's NPI number?

The NPI number for Kathy Gavin is 1770598559. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Kathy Gavin located?

Kathy Gavin practices at 30410 Highway 200, Ponderay, ID 83852. The listed phone number is (208) 263-1345.

What is Kathy Gavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathy Gavin was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.