LERA-JO ANN CAVANAUGH (NPI# 1235211681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235211681 |
| Entity Type | Individual |
| Full Name | LERA-JO ANN CAVANAUGH |
| Credential | NNP |
| Practice Address |
620 Byron Rd Howell MI 48843-1002 |
| Mailing Address |
6498 Barrie Cir Brighton MI 48114-7430 |
| Practice Telephone | 5175456593 |
| Mailing Telephone | 8102203644 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
4704117443 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
620 BYRON RD |
| City | HOWELL |
| State | MI |
| Zip Code | 48843-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927944 | Pamela M Eaton | Emergency Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2005-07-22 |
| 1801412861 | Mustafa Riyad Hussein | Student in an Organized Health Care Education/Training Program | 620 Byron Rd, Howell, MI 48843-1002 | 2020-06-24 |
| 1699314302 | Suzanne R Genyk | Dietitian, Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2019-12-27 |
| 1215412226 | William Wakefield | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-26 |
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1982180030 | Robert Bunnell | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2018-07-12 |
| 1770002156 | Sandra Lynn Perry | Nurse Anesthetist, Certified Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2017-09-16 |
| 1164942256 | Bryan Battjes | Occupational Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2017-06-21 |
| 1922528025 | Amanda Bowersox | Occupational Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2017-06-21 |
| 1295284628 | Danielle E. Hicks | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050775 | Kaylee Primeau | Behavioral Analyst | 3292 Beck Rd, Howell, MI 48843 | 2018-10-28 |
| 1750869988 | Leanna Lynn Lopez | Occupational Therapist | 4286 Mcgunn Rd, Howell, MI 48843 | 2018-07-31 |
| 1942719133 | Tracey Ann Ulmer | Specialist | 622 Grand River, Howell, MI 48843 | 2017-09-20 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1558817288 | Amy Binns | Technician, Other | 5280 Whistler Pt, Howell, MI 48843 | 2016-09-01 |
| 1033571112 | Diversified Counseling and Consulting Services, Pllc | Social Worker | 1004 S. Michigan Ave., Suite 203, Howell, MI 48843 | 2016-03-28 |
| 1174998801 | Level Eleven Howell | Clinic/Center | 1030 W. Highland Rd, Howell, MI 48843 | 2015-12-07 |
| 1285021170 | Frances Vitale | Behavioral Analyst | 308 Tullamore St, Howell, MI 48843 | 2015-04-19 |
| 1487059671 | Michigan Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd., Howell, MI 48843 | 2014-10-30 |
| 1720483027 | Assuredtrans Services, Inc. | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd, Howell, MI 48843 | 2014-10-29 |
| Find all providers in zip 48843 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104356 | Laura Marie Sykes | Nurse Practitioner | 1215 E. Michigan Aave, Lansing, MI 48909 | 2017-06-23 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1447574348 | Cheryl M Abernathy | Nurse Practitioner | 3532 Victoria Sta, Davison, MI 48423-8448 | 2010-03-22 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1518564632 | Amanda Elaine Hazen | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-10-01 |
| 1811530074 | Kristina Kay David | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-21 |
| 1447892070 | Nicholas Philip Garofalo | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-15 |
| 1003464181 | Amber Marroquin | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-08-31 |
| 1467919837 | Crystal Lynn Warren | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-02-21 |
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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.