Mary Kavanaugh, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN284423 Issued in MA

Practice address

387 Quarry St
Suite 100
Fall River, MA 02723-1025

Phone

(508) 679-8111

Fax

(774) 627-1284

NPI assigned

Jun 24, 2011

Last updated

Jan 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthfirst Family Care Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1962435933
  NPD (past)
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1063708311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-679-8111",
            "fax_number": "774-627-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "address_2": "SUITE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-679-8111",
            "fax_number": "774-627-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "MARY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN284423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Egan Kassay, LICSW
• Jerald Katz, MD
• Nathalie L Kaufman, MSW
• Ajinder Kaur, DDS
• Maneet Kaur, MD
• Rebecca Willis Kayser, PHD
• Kathleen Gannon Kearney, LICSW
• Kimmarie Kearns-Vinal
• Kaitlin Keefe
• John Keezer

• Registered Nurse in Fall River, MA
• Providers in Fall River, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.