DR. KIMBERLY KAVANAGH (NPI# 1114269792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114269792 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KAVANAGH |
| Credential | MD |
| Practice Address |
1430 Tulane Ave #8055 New Orleans LA 70112-2632 |
| Practice Telephone | 5049887829 |
| Practice Fax Number | 5049884264 |
| Mailing Telephone | 5049887829 |
| Mailing Fax Number | 5049888017 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 303828 | LA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
303828 | LA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
303828 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356566145 | Kimberly Theresa Kavanagh | Acupuncturist | 566 Mitchell Drive, Los Osos, CA 93402 | 2007-04-16 |
| 1871934018 | Kimberly Ann Kavanagh | Physician Assistant | 1850 E Park Ave Ste 302, State College, PA 16803 | 2013-07-16 |
| Street Address |
1430 TULANE AVE #8055 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536694 | Robert Hopkins | Pediatrics | 1430 Tulane Ave, Sl37, New Orleans, LA 70112-2632 | 2006-02-09 |
| 1801409701 | Tarek Ayoub | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, Fellows Office (tarek Ayoub), New Orleans, LA 70112 | 2020-08-28 |
| 1457979213 | Tse Chiang Chen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112 | 2020-07-08 |
| 1467073320 | Claire Elaine Mickey | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-05-01 |
| 1215558465 | Bryan Jacob Lynn | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-29 |
| 1114556438 | Shana Zucker | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-07 |
| 1417586058 | Christian D Huebner | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-06 |
| 1124657069 | Christina Gupfinger | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-03 |
| 1639708324 | Natasha Ladane Rezvani | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-03 |
| 1528695053 | Jacob Elias Khoury | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305701 | Erin Prince | Psychiatry & Neurology | 1542 Tulane Ave Rm 238a, New Orleans, LA 70112-2865 | 2014-04-07 |
| 1952643736 | Maegen S Vincent | Psychiatry & Neurology | 131 South Robertson Street, 14th Floor, New Orleans, LA 70112 | 2013-03-20 |
| 1093090441 | Naomi Es Mann | Psychiatry & Neurology | 5010 Saint Charles Ave, New Orleans, LA 70115-4939 | 2011-10-17 |
| 1497048912 | Lauren Kaczka-weiss | Psychiatry & Neurology | 1440 Canal St # Tb52, New Orleans, LA 70112-2703 | 2011-05-17 |
| 1740508415 | Akanksha Thakur | Psychiatry & Neurology | 1430 Tulane Ave #8055, Tulane University School of Medicine, Child Psychiatry, New Orleans, LA 70112-0001 | 2010-05-05 |
| 1306003504 | Vininder Singh Khunkhun | Psychiatry & Neurology | 1440 Canal St # Tb33, Dept. of Psychiatry, New Orleans, LA 70112-2703 | 2008-05-16 |
| 1205031044 | Louisiana Youth Enhanced Services | Psychiatry & Neurology | 8 Versailles Blvd, New Orleans, LA 70125-4114 | 2007-06-20 |
| 1487859427 | Shaheena Virani | Psychiatry & Neurology | 925 Common St Apt 703, New Orleans, LA 70112-2336 | 2007-06-19 |
| 1902989833 | Morgan Bruce Feibelman | Psychiatry & Neurology | 400 Poydras St, Suite 1780, New Orleans, LA 70130-3245 | 2006-10-23 |
| 1992801096 | Mary Lynn Dell | Psychiatry & Neurology | 210 State St Bldg 11, New Orleans, LA 70118-5735 | 2006-09-15 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.