PATRICIA CAVANAUGH (NPI# 1245738269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245738269 |
| Entity Type | Individual |
| Full Name | PATRICIA CAVANAUGH |
| Credential | CNM, WHNP-BC |
| Practice Address |
491 Gold Star Hwy Ste 100 Groton CT 06340-6226 |
| Mailing Address |
72 Parker Pl New Haven CT 06512-3958 |
| Practice Telephone | 8604455107 |
| Mailing Telephone | 6303615676 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN58001 | RI | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
7874 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Dudley St, Providence, RI 029052401 | 4012741100 |
| Street Address |
491 GOLD STAR HWY STE 100 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414905 | Jessica Kiback | Nurse Practitioner | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | 2019-02-21 |
| 1952833394 | Kulwinder Nicole Bajwa | Nurse Practitioner | 1075 Asylum Ave Fl 1, Hartford, CT 06105-2455 | 2017-04-03 |
| 1073977591 | Megan Monteiro | Nurse Practitioner | 120 Park Lane Rd # 202, New Milford, CT 06776-2444 | 2016-04-11 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1578962528 | Chloe Quinn | Nurse Practitioner | 1030 New Britain Avenue, West Hartford, CT 06110-2261 | 2014-08-15 |
| 1578985032 | Cynthia A. Ely I | Nurse Practitioner | 30 Deepwood Rd, Wilton, CT 06897-4201 | 2014-01-16 |
| 1578775953 | Lorna Cassidy Aliperti | Nurse Practitioner | 236 Stamford Ave, Stamford, CT 06902-8233 | 2007-05-05 |
| 1760502397 | Kristen Maria Stehle | Nurse Practitioner | 4 Shaws Cv Ste 105, New London, CT 06320-4956 | 2007-03-29 |
| 1164446878 | Patricia A Labowsky | Nurse Practitioner | 415 Howe Ave, Shelton, CT 06484-3166 | 2006-07-26 |
| 1164458386 | Shawn Polizzi | Nurse Practitioner | 1090 Main St, Branford, CT 06405-3716 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
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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.