Active NPI
Rachel Cavanaugh
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1508410432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08446
- Practice address
- 2434 W Belvedere Ave
Baltimore, MD 21215-5267 - Phone
- (410) 601-2400
- NPI assigned
- Jul 29, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08446 | MD | Primary |
Addresses
Primary practice location
2434 W Belvedere Ave
Baltimore, MD 21215-5267
Mailing address
2809 Boston St Apt 219
Baltimore, MD 21224-4846
Phone (443) 307-1369
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | racavana@lifebridgehealth.org | Health Information Exchange (HIE) | Levindale Hebrew Geriatric Center & Hospital Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027593 | NY | MD | Pediatric Occupational Therapist |
| 08446 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1508410432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 BOSTON ST APT 219",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244846",
"telephone_number": "443-307-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155267",
"telephone_number": "410-601-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08446",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "racavana@lifebridgehealth.org",
"affiliation": "Y",
"endpointDescription": "work email, secured network",
"affiliationName": "Levindale Hebrew Geriatric Center & Hospital Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2434 W Belvedere Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212155267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.