Zachary Shane Cavins, MSN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4021140 Issued in KY

Practice address

645 Interstate Dr
Grayson, KY 41143-1704

Phone

(606) 474-0669

NPI assigned

May 9, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.cavins.1@13661.direct.athenahealth.com

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.

• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus

  • Federally Qualified Health Center (FQHC)
  • Vanceburg, KY
  • NPI 1457303802

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Infinity Center LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Ashland, KY
  • NPI 1093119539

  Single Specialty

  Medicare reassignment NPD
• Lewis County Primary Care Center, Inc.

  dba PrimaryPlus - Morehead

  • Federally Qualified Health Center (FQHC)
  • Morehead, KY
  • NPI 1215643440
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1386492882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LYNWOOD ST",
            "city": "RACELAND",
            "state": "KY",
            "postal_code": "411691430",
            "telephone_number": "606-371-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 INTERSTATE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431704",
            "telephone_number": "606-474-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "ZACHARY",
        "middle_name": "SHANE",
        "credential": "MSN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4021140",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1162592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter Co Emergency Ambulance Service District
• Carter County Board of Education
• Carter County Chiropractic (American Health Centers of Grayson)
• Carter County Health Department
• Carter Nursing and Rehabilitation LLC
• Ayla Christian, CSW
• Jana Rae Church, IECE
• Donnah Clark-Miller, LPCC
• Claxon Management Group LLC (American Health Center of Grayson)
• Lexie Jo Clay, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Grayson, KY
• Providers in Grayson, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.