Active NPI
Kathleen R Kavanaugh, RN
- Registered Nurse
- Skowhegan, ME
National Provider Identifier
1619744166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN50139
- Practice address
- 26 Mechanic St Apt 1
Skowhegan, ME 04976-1460 - Phone
- (207) 431-2354
- NPI assigned
- Dec 5, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN50139 | ME | Primary |
Addresses
Primary practice location
26 Mechanic St Apt 1
Skowhegan, ME 04976-1460
Mailing address
26 Mechanic St Apt 1
Skowhegan, ME 04976-1460
Phone (207) 431-2354
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN50139 | ME | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1619744166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MECHANIC ST APT 1",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761460",
"telephone_number": "207-431-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MECHANIC ST APT 1",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761460",
"telephone_number": "207-431-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVANAUGH",
"first_name": "KATHLEEN",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN50139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.