MRS. TERRAH KOPPIE GAVRILOS APN CNP NPI 1396250346

NPI Information

NPI: 1396250346
Provider Name: MRS. TERRAH KOPPIE GAVRILOS, APN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PINNACLE DERMATOLOGY SC

PECOS Registration: Yes

Address:
738 W NORTHWEST HWY
BARRINGTON, IL
ZIP 60010
Phone: (815) 744-8554
Get Directions

MRS. Terrah Koppie Gavrilos, APN, CNP is a family nurse practitioner in Barrington, IL with 8 years of experience. MRS. Terrah Koppie Gavrilos, APN, CNP NPI is 1396250346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

738 W NORTHWEST HWY
BARRINGTON, IL
ZIP 60010-640
Phone: (815) 744-8554
Fax: (630) 495-1770

The NPI 1396250346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	209015215	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209015215	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041374819	OTHER	ILLINOIS	REGISTERED PROFESSIONAL NURSE
2	309010634	OTHER	ILLINOIS	APN CONTROLLED SUBSTANCE
3	209105215	OTHER	ILLINOIS	APN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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