MRS. LINDSEY GAVIOLI FOX FNP-BC AGACNP-BC NPI 1629588504

NPI Information

NPI: 1629588504
Provider Name: MRS. LINDSEY GAVIOLI FOX, FNP-BC, AGACNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1111 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 732-5545
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MRS. Lindsey Gavioli Fox, FNP-BC, AGACNP-BC is a gerontology nurse practitioner in Medford, OR with 7 years of experience. MRS. Lindsey Gavioli Fox, FNP-BC, AGACNP-BC NPI is 1629588504. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-241
Phone: (541) 732-5545

The NPI 1629588504 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 10/5/2017 and was last updated on 6/7/2023.

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	363L00000X	Nurse Practitioner		61319	NEW MEXICO	No
2	363LF0000X	Nurse Practitioner	Family	0993447	COLORADO	No
3	363LG0600X	Nurse Practitioner	Gerontology	201804532NP-PP	OREGON	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	500748692	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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