Barbara M Kavanagh, RN/MSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SW4616 Issued in FL

Practice address

3459 Seminole Lane
Marianna, FL 32448

Phone

(850) 510-5145

Fax

(850) 656-3802

NPI assigned

Mar 27, 2007

Last updated

Nov 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1518085414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SEMINOLE LANE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32448",
            "telephone_number": "850-510-5145",
            "fax_number": "850-656-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SEMINOLE LANE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32448",
            "telephone_number": "850-510-5145",
            "fax_number": "850-656-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "BARBARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN/MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regist Tonyce Johnson, NURSE PRACTITIONER
• Vicky Dees Johnson, RN
• Joseph T. Sherrel, MD PA
• Joy-Can LLC
• Julie a. Harris DNP LLC
• Keep Progressing Counseling LLC
• Homer Don Kelly, DVM
• Scott Kelly, APRN
• Kelson Drug Inc (Kelson Discount Drug)
• Alexis Tierra Kendall

• Addiction (Substance Use Disorder) Counselor in Marianna, FL
• Providers in Marianna, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.