AMY LYNN CAVANAGH (NPI# 1902856776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902856776 |
| Entity Type | Individual |
| Full Name | AMY LYNN CAVANAGH |
| Credential | MSN, FNP |
| Practice Address |
5201 Hickory Park Dr Ste A Glen Allen VA 23059-2623 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 8042626060 |
| Practice Fax Number | 8042626422 |
| Mailing Telephone | 9206639035 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024168749 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168749 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 231114710 | 8043790116 | 8043791088 |
| 8266 Atlee Rd Ste 230, Mechanicsville, VA 231161813 | 8047895590 | 8047895989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558679266 | Amy Cavanagh | Student in an Organized Health Care Education/Training Program | 57 Highland Ave, Salem, MA 01970-2141 | 2010-09-15 |
| Street Address |
5201 HICKORY PARK DR STE A |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386729747 | Sharon S Camden | Dermatology | 5201 Hickory Park Dr Ste A, Glen Allen, VA 23059-2623 | 2006-10-26 |
| 1407948037 | Donna R Jarvis | Nurse Practitioner | 5201 Hickory Park Dr Ste A, Glen Allen, VA 23059 | 2006-09-29 |
| 1396770665 | Algin Baylor Garrett | Dermatology | 5201 Hickory Park Dr Ste A, Glen Allen, VA 23059-2623 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1023667649 | Leah Blatzer | Nurse Practitioner | 4510 Marshall Run Cir Apt 204, Glen Allen, VA 23059-5863 | 2019-09-06 |
| 1699245936 | Kellems Geriatric Healthcare | Nurse Practitioner | 8715 Brays Fork Dr, Glen Allen, VA 23060-3693 | 2018-11-29 |
| 1790268415 | Kimberly Green-murray | Nurse Practitioner | 4803 Shellbark Ct, Glen Allen, VA 23059-7631 | 2018-09-09 |
| 1417444779 | Chantika K Ashe | Nurse Practitioner | 4911 Dunncroft Ct, Glen Allen, VA 23060-3660 | 2018-04-21 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1558870428 | Seeba N George | Nurse Practitioner | 11417 Willow Gate Dr, Glen Allen, VA 23060-6128 | 2017-09-23 |
| 1669839932 | Erin Lind | Nurse Practitioner | 10900 Nuckols Rd Ste 110, Glen Allen, VA 23060-9246 | 2016-01-18 |
| 1275852998 | Sheree Epps | Nurse Practitioner | 9705 Jebstone Ct, Glen Allen, VA 23059-4576 | 2010-05-19 |
| 1871796490 | Donna Marie Brown | Nurse Practitioner | 4212 Park Place Ct, Glen Allen, VA 23060-3314 | 2007-06-10 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
Please comment or provide details below to improve the information on AMY LYNN CAVANAGH.
| 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.