PRISCILLA LUPITA KAVANAGH (NPI# 1528429057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528429057 |
| Entity Type | Individual |
| Full Name | PRISCILLA LUPITA KAVANAGH |
| Practice Address |
1061 Cedar Crest Dr Minden NV 89423-5181 |
| Mailing Address |
1212 North California St. Team D Stockton CA 95202 |
| Practice Telephone | 9255252662 |
| Mailing Telephone | 2099531030 |
| Mailing Fax Number | 2094683516 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2122 | CA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
APCC2122 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1061 CEDAR CREST DR |
| City | MINDEN |
| State | NV |
| Zip Code | 89423-5181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689110637 | Beverly Hulbin | Counselor | 191 Barbeque Rd, Minden, LA 71055-7865 | 2017-01-15 |
| 1992171144 | Brenda Oliver | Counselor | 114 W Union St, Minden, LA 71055-3352 | 2015-08-11 |
| 1144582727 | Robert Javan Whitaker Sr. | Counselor | 239 Country Pines Dr, Minden, LA 71055-6518 | 2012-06-11 |
| 1013277003 | Cassandra M Almasy | Counselor | 607 Fleming Ln, Minden, LA 71055-3073 | 2012-05-23 |
| 1427325158 | Debra Elaine Whatley | Counselor | 703 Broadway St, Minden, LA 71055-3306 | 2011-11-23 |
| 1265715817 | Jonathon Brett Traylor | Counselor | 1004 Recreation Dr, Minden, LA 71055-5125 | 2011-09-21 |
| 1114160371 | Rose T. Biles | Counselor | 1011 Almond Cir, Minden, LA 71055-6739 | 2009-04-16 |
| 1689872095 | Jan F. Nichols | Counselor | 133 Valleyview St, Minden, LA 71055-8979 | 2007-07-06 |
| 1477767580 | Jennifer K. Smith | Counselor | 208 Broadway St, Minden, LA 71055-3301 | 2007-05-09 |
| 1174696520 | Sherile Smith | Counselor | 101 Glen Horton Dr, Minden, LA 71055-3932 | 2006-11-15 |
| Find all providers in MINDEN | ||||
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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.