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1982402418 NPI number — EMMA COLE GAVIDIA DNP, PNPAC

NPI Number: 1982402418
Health Care Provider/Practitioner: EMMA COLE GAVIDIA DNP, PNPAC

Information about “1982402418” NPI (EMMA COLE GAVIDIA DNP, PNPAC) exists in 1982402418 in HTML format HTML  |  1982402418 in plain Text format TXT  |  1982402418 in PDF (Portable Document Format) PDF  |  1982402418 in an XML format XML  formats.

NPI Number : 1982402418 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982402418",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAVIDIA",
    "FirstName": "EMMA",
    "MiddleName": "COLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP, PNPAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6238 GALA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28215-2275",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 BLYTHE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28203-5812",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-422-3099",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/03/2025",
    "LastUpdateDate": "09/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "5025573",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WP0218X",
          "TaxonomyName": "Pediatric Oncology Registered Nurse",
          "LicenseNumber": "K3JQ84ZW",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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