Christine B Kavanagh, CRNP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN003091 Issued in PA

Practice address

6 E Mountain Ave
South Williamsport, PA 17702-7628

Phone

(570) 321-1831

Fax

(570) 321-1824

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518172295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 WALNUT ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012060",
            "telephone_number": "570-321-1831",
            "fax_number": "570-321-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MOUNTAIN AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177027628",
            "telephone_number": "570-321-1831",
            "fax_number": "570-321-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003091",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP-008251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP-008251",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen Theodore Hofstrom, MD
• Michelle Jackson, M.S. CCC-SLP
• James Baldys
• Chloe Jennings
• Kellie Lynn Karschner, CRNP, MSN
• Loving Care at Home
• Nicole McGinn
• Cristino M. Morrone, DC
• Gabriella Mulreaney, RBT
• Erin Renee Niedzwiecki, RBT

• Registered Dietitian in South Williamsport, PA
• Providers in South Williamsport, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.