Meghan Tooke Kavanaugh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206952 Issued in LA

Practice address

707 S Vienna St
Ruston, LA 71270-5845

Phone

(183) 224-3044

Fax

(318) 232-2978

NPI assigned

Sep 8, 2008

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hill Medical Services, LLCGroup PAC ID 5799920773, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hill Medical Services, LLC

  dba Diabetes Care Center

  • Family Nurse Practitioner
  • Ruston, LA
  • NPI 1407100183
  Medicare reassignment Care Compare group
• Outpatient Medical Nutrition Therapy

  • Clinic/Center
  • Monroe, LA
  • NPI 1508856253
  NPD (past)
• St Francis Pet Imaging, LLC

  • Radiology Clinic/Center
  • Monroe, LA
  • NPI 1578552709
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1548418189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705845",
            "telephone_number": "318-224-3044",
            "fax_number": "318-232-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705845",
            "telephone_number": "183-224-3044",
            "fax_number": "318-232-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "MEGHAN",
        "middle_name": "TOOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206952",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "LA",
            "license": "2108",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "LA",
            "license": "2108",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2108",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "LA",
            "license": "2108",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "LA",
            "license": "2108",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "LA",
            "license": "2108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriel Peter Joseph
• Jennifer Stevens Juneau, FNP
• Just Health
• Just Health
• Just Like You
• Antoinette Kelly-Clark
• Melissa Kelly
• Karen Kendrick, RPH
• Walter Kennedy, CRNA
• Nicola Piazza Kent, APRN, FNP

• Family Nurse Practitioner in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.