MS. ELLYN ELIZABETH CAVANAGH (NPI# 1669707287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669707287 |
| Entity Type | Individual |
| Full Name | MS. ELLYN ELIZABETH CAVANAGH |
| Credential | PHD, MN, APRN |
| Practice Address |
4430 106th St Sw Mukilteo WA 98275-4711 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4254396002 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30002468 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
061473-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2034048 | 05 | |
| NH | 30347751 | 05 | |
| VT | 1016889 | 05 |
| Street Address |
4430 106TH ST SW |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300630 | Greg Alan Fjeran | Dentist | 4430 106th St Sw, #101, Mukilteo, WA 98275-4711 | 2006-07-01 |
| 1336519370 | Kristina Louise Taylor | Marriage & Family Therapist | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2015-10-02 |
| 1871934638 | Grace Anne Turner | Nurse Practitioner | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2013-07-09 |
| 1225343932 | Megan Alysa Beaumont | Pediatrics | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2010-08-18 |
| 1730490863 | Aisha Reuler | Pediatrics | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2010-06-23 |
| 1497994065 | Emily Novak Waight | Nurse Practitioner | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2009-02-05 |
| 1972604213 | Rebecca L. Parrish | Family Medicine | 4430 106th St Sw, Suite 102, Mukilteo, WA 98275-4711 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| 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 |
|---|---|---|---|---|
| 1740603307 | Karla Chaney Ballew | Nurse Practitioner | 4686 Pointes Dr Ste 219, Mukilteo, WA 98275-6038 | 2014-01-31 |
| 1003382292 | Katie Uberti | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2018-10-16 |
| 1285176024 | Nicole Kraker | Nurse Practitioner | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 | 2016-11-10 |
| 1164974978 | Ji-young Kim | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275 | 2016-10-27 |
| 1376914879 | Miriam Carla Sorensen | Nurse Practitioner | 10200 Mukilteo Speedway, Mukilteo, WA 98275 | 2015-10-09 |
| 1992180525 | Madeline Piediscalzi | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2015-07-24 |
| 1942697255 | Sarah Hermanson | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2015-04-24 |
| 1942632401 | Mary Catherine Harris | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2013-08-06 |
| 1871934638 | Grace Anne Turner | Nurse Practitioner | 4430 106th St Sw, Mukilteo, WA 98275-4711 | 2013-07-09 |
| 1821137571 | Kristine Takamiya | Nurse Practitioner | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2007-02-06 |
| Find all providers in MUKILTEO | ||||
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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.