Individual provider Active NPI

Dequajia Quinschelle Cavaness

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1780453928
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1143017 Issued in TX
Practice address
1315 Santa Fe St
Corpus Christi, TX 78404-2217
Phone
(361) 887-9600
NPI assigned
Dec 29, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1143017 TX Primary

Addresses

Primary practice location

1315 Santa Fe St
Corpus Christi, TX 78404-2217

Mailing address

1315 Santa Fe St
Corpus Christi, TX 78404-2217
Phone (361) 887-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240813001968 TX Practitioner - Nurse Practitioner 2668910373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Psychiatry Services PCGroup PAC ID 2860885282, 11 clinicians

Practice addresses (Care Compare)

1315 Santa Fe St
Suite 204
Corpus Christi, TX 78404-2287
Phone (361) 444-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1143017TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Psychiatry Services PC CurrentSince Jul 26, 2024 Accepting new patients
Psychiatric Consulting Services PastSince Jul 13, 1993 Accepting new patients

Locations

1315 Santa Fe St
Ste 201
Corpus Christi, TX 78404
Phone (361) 887-9600

1315 Santa Fe St
Ste 204
Corpus Christi, TX 78404
Phone (361) 444-5255

6000 S Staples St
Ste 406
Corpus Christi, TX 78413
Phone (361) 444-5255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1780453928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042217",
            "telephone_number": "361-887-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042217",
            "telephone_number": "361-887-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANESS",
        "first_name": "DEQUAJIA",
        "middle_name": "QUINSCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1143017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.