Active NPI
Lillian Grace Cavanagh
- Student in an Organized Health Care Education/Training Program
- Claremore, OK
National Provider Identifier
1053215186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 17930 S Elm Rd
Claremore, OK 74019-1958 - Phone
- (918) 352-1120
- NPI assigned
- Oct 3, 2026
- Last updated
- Oct 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
17930 S Elm Rd
Claremore, OK 74019-1958
Mailing address
17930 S Elm Rd
Claremore, OK 74019-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790985600000",
"number": "1053215186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17930 S ELM RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740191958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17930 S ELM RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740191958",
"telephone_number": "918-352-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "LILLIAN",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-03",
"last_updated": "2026-10-03",
"certification_date": "2026-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.