PAT KAVANAUGH (NPI# 1598984379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598984379 |
| Entity Type | Individual |
| Full Name | PAT KAVANAUGH |
| Practice Address |
3420 Chanate Rd Santa Rosa CA 95404-1710 |
| Practice Telephone | 7075654822 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | V097457 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3420 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114087012 | Sandra Aberle | Registered Nurse | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2006-12-11 |
| 1669615571 | Susan T Mayhew | Registered Nurse | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2009-04-08 |
| 1134362122 | Julie Mccray Klein | Registered Nurse | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2009-04-07 |
| 1770794042 | Ila Kathleen Sheridan | Nurse Practitioner | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-05-25 |
| 1679781702 | Rose H. Rivera | Nurse Practitioner | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-05-21 |
| 1457404212 | Margaret A Hewitt | Registered Nurse | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-01-18 |
| 1255483731 | James M Stafford | Physician Assistant | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-01-17 |
| 1184786063 | Kimberly Mahr | Registered Nurse | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2006-12-15 |
| 1588726681 | Michael S. Knappman | Physician Assistant | 3420 Chanate Rd, Santa Rosa, CA 95404-1710 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518596 | Jeannine Anne Freeman | Nurse Practitioner | 1936 Northfield Dr, Santa Rosa, CA 95403-2086 | 2019-03-23 |
| 1215449814 | Jinney Murdes | Nurse Practitioner | 70 Stony Point Rd Ste G, Santa Rosa, CA 95401-4492 | 2017-11-04 |
| 1982121885 | Jennifer Elizabeth Warren | Nurse Practitioner | 1144 Sonoma Ave Ste 119, Santa Rosa, CA 95405-4812 | 2017-08-23 |
| 1205245255 | Jacqueline Anderson | Nurse Practitioner | 2057 Northfield Dr, Santa Rosa, CA 95403-2073 | 2014-08-04 |
| 1679792071 | Jane E Kennedy | Nurse Practitioner | 2455 Bennett Valley Rd Ste B205, Santa Rosa, CA 95404-5667 | 2007-04-24 |
| 1619903010 | James Clifford Strother | Nurse Practitioner | 3536 Mendocino Avenue, #300, Santa Rosa, CA 95403 | 2006-06-25 |
| 1720052921 | Dana K Mckinney | Nurse Practitioner | 2023 Gardenview Pl, Santa Rosa, CA 95403-9488 | 2006-02-14 |
| 1770553273 | Jennifer Carin Follestad | Nurse Practitioner | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2006-01-25 |
| 1508403551 | Victoria Ojiako | Nurse Practitioner | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-12-09 |
| 1548723422 | Sunny Bush | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2019-04-09 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.