Deanna L Kavanaugh, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

342 Issued in AK

Practice address

4100 Lake Otis Pkwy Ste 222
Anchorage, AK 99508-5230

Phone

(907) 550-6100

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Alaska Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1093710717
  NPD (past)
• Alaska Surgery Center, Limited Partnership

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1205892197
  NPD (past)
• Chugach Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1093712358
  NPD (past)
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1710921077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 222",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-550-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 222",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-550-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LISCENSE",
            "identifier": "342",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Kaufman, NP
• Matthew R Kauhn, LMSW
• Laura Katherine Kautzman
• Nancy Cheryl Kavan, R.PH.
• Barbara Kavanagh
• Olivia Kavanaugh
• Alec G Kay, PT
• Christy Ann Kay
• Ashley Kayser
• KBS Medical Alaska PC

• Certified Registered Nurse Anesthetist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Certified Registered Nurse Anesthetist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.