MEDICARE: SEMONA GAVIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	28241232A	IN

General Provider Information

NPI Number	:	1972305266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEMONA GAVIN

Provider Business Mailing Address
First Line	:	5625 N GERMAN CHURCH RD # 2043
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 N GERMAN CHURCH RD # 2043
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8513
Country	:	US
Telephone Number	:	--
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/27/2025

Similar Medicare Providers

1922605864 — CONNECTED IN COMMUNITY, LLC
Practice Location Address:

5625 N GERMAN CHURCH RD STE 105
INDIANAPOLIS, IN
46235-8513

Practice Phone: 317-207-0380
Practice Fax:

1568116549 — DISCOVERY ABA IN LLC
Practice Location Address:

5625 N GERMAN CHURCH RD , SUITE 3117
INDIANAPOLIS, IN
46235-8513

Practice Phone: 718-736-5689
Practice Fax:

1992453096 — LITTLE LEAF ABA IN LLC
Practice Location Address:

5625 N GERMAN CHURCH RD STE 3117
INDIANAPOLIS, IN
46235-8513

Practice Phone: 718-736-5689
Practice Fax:

1174391569 — LIGHTHOUSE SERVICES LLC
Practice Location Address:

5625 N GERMAN CHURCH RD STE 102
INDIANAPOLIS, IN
46235-8513

Practice Phone: 317-210-0878
Practice Fax:

1548031354 — LACRETIA ROBERTS LMFTA
Practice Location Address:

5625 N GERMAN CHURCH RD UNIT 2107
INDIANAPOLIS, IN
46235-8513

Practice Phone: 305-771-5880
Practice Fax:

1912761552 — HOME SAFETY & MOBILITY, LLC
Practice Location Address:

5625 N GERMAN CHURCH RD
INDIANAPOLIS, IN
46235-8513

Practice Phone: 317-389-6966
Practice Fax:

1013760370 — MINTY'S HAVEN INC
Practice Location Address:

5625 N GERMAN CHURCH RD STE 2275
INDIANAPOLIS, IN
46235-8513

Practice Phone: 317-730-0186
Practice Fax:

Directions to “ SEMONA GAVIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.