KELLY CAVANAUGH (NPI# 1114433851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114433851 |
| Entity Type | Individual |
| Full Name | KELLY CAVANAUGH |
| Other Name | KELLY BATTE |
| Credential | RDN, LD |
| Practice Address |
2302 College Ave Conway AR 72034-6297 |
| Mailing Address |
2270 Meadowlake Rd Apt 803 Conway AR 72032-2676 |
| Practice Telephone | 5015135286 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1627 | AR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184880627 | Kelly Elizabeth Cavanaugh | Registered Nurse | 407 Westbrook Hills Dr, Syracuse, NY 13215-1879 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1073007548 | Kelly M Cavanaugh | Massage Therapist | 425 Joliet St Ste 212, Dyer, IN 46311-1766 | 2018-06-19 |
| 1851888598 | Kelly Cavanaugh | Nurse's Aide | 1285 Sw Center St, Pullman, WA 99163-5807 | 2018-04-18 |
| 1740705326 | Kelly Erin Cavanaugh | Audiologist | 6 Executive Park Dr, Albany, NY 12203-3791 | 2017-08-04 |
| 1205385077 | Kelly Marie Cavanaugh | Nurse Practitioner | 714 10th St, Secaucus, NJ 07094-2921 | 2016-09-22 |
| Street Address |
2302 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1912529090 | Clayton Preston | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-12 |
| 1922629666 | Dylan Joshua Cruz | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-05-05 |
| 1497376453 | Ross Lenzen | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-30 |
| 1639790983 | Olufadejimi Atanda Kareem | Student in an Organized Health Care Education/Training Program | 2302 College Ave, Conway, AR 72034-6297 | 2020-04-28 |
| 1346877933 | Peggy Ann Schultz | Registered Nurse | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-24 |
| 1578198594 | Anni Julliett Fuenmayor | Nutritionist | 2302 College Ave, Conway, AR 72034-6297 | 2020-03-10 |
| 1871139394 | Sarah C Atkins | Nurse Practitioner | 2302 College Ave, Conway, AR 72034-6297 | 2019-11-19 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1083279533 | Faulkner Emergency Group, Pllc | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1083116941 | Whitney Marie Holland | Dietitian, Registered | 3475 Malvern Hill Rd, Conway, AR 72032-9163 | 2018-03-06 |
| 1104204270 | Erick Keith Mccarthy | Dietitian, Registered | 18 Water Oak Dr, Conway, AR 72034-3430 | 2015-05-11 |
| 1154627800 | Charity Ashworth | Dietitian, Registered | 700 Salem Rd, Conway, AR 72034-4818 | 2011-01-28 |
| 1760705222 | Alane Scheider | Dietitian, Registered | 500 Hiland Ave, Conway, PA 15027-1464 | 2010-03-11 |
| 1013240928 | Janet A Dance | Dietitian, Registered | 2125 Desha Dr, Conway, AR 72034-7394 | 2009-09-09 |
| 1528209558 | Nina L. Roofe | Dietitian, Registered | 12 Sarah Ln, Conway, AR 72032-9049 | 2009-03-21 |
| 1144244302 | Karen Nichole Thompson | Dietitian, Registered | 2125 College Avenue, Conway, AR 72034 | 2006-07-27 |
| 1366059560 | Lori Jean Dather | Dietitian, Registered | 603 Harkrider St, Conway, AR 72032-5633 | 2020-09-30 |
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
| Find all providers in CONWAY | ||||
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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.