Active NPI
Steven Cavanaugh
- Licensed Practical Nurse
- Aurora, CO
National Provider Identifier
1548041585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 23-54001-011
- Practice address
- 1700 Wheeling St BLDG a
Aurora, CO 80045-7211 - Phone
- (720) 857-5000
- NPI assigned
- Oct 6, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 23-54001-011 | KS | Primary |
Addresses
Primary practice location
1700 Wheeling St BLDG a
Aurora, CO 80045-7211
Mailing address
4340 Owens St
Wheat Ridge, CO 80033-2726
Phone (913) 289-3992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-54001-011 | KS | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1548041585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 OWENS ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332726",
"telephone_number": "913-289-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WHEELING ST BLDG A",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-857-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-06",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "KS",
"license": "23-54001-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.