NPI Code Detail JSON Logo

1205983608 NPI number — ELLEN CAVANAUGH APRN

NPI Number: 1205983608
Health Care Provider/Practitioner: ELLEN CAVANAUGH APRN

Information about “1205983608” NPI (ELLEN CAVANAUGH APRN) exists in 1205983608 in HTML format HTML  |  1205983608 in plain Text format TXT  |  1205983608 in PDF (Portable Document Format) PDF  |  1205983608 in an XML format XML  formats.

NPI Number : 1205983608 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205983608",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAVANAUGH",
    "FirstName": "ELLEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "819 W LODGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TEMPE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85283-3570",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3141 N 3RD AVE",
    "SecondLinePracticeLocationAddress": "AZ9501000",
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85013-4351",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-745-7925",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/05/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LG0600X",
        "TaxonomyName": "Gerontology Nurse Practitioner",
        "LicenseNumber": "RN-044483",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.