Shannon Cavanaugh, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

19-1820 Issued in AZ

Practice address

2550 Pegasus Dr
Fairbanks, AK 99712-3272

Phone

(702) 235-9985

NPI assigned

Oct 2, 2019

Last updated

May 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sonoran University of Health Sciences

  • Naturopath
  • Tempe, AZ
  • NPI 1417173857
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1811538770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PEGASUS DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997123272",
            "telephone_number": "702-235-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PEGASUS DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997123272",
            "telephone_number": "702-235-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "SHANNON",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AK",
            "license": "191955",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "19-1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria C Castro
• Laura Catalano, PA-C
• Catalyst Counseling & Wellness Group Inc (Catalyst Counseling & Wellness Group)
• William Frank Catelli II, D.D.S.
• Katherine Joan Caudill, DPT
• Rebecca Ann Cave-Mansker, DDS
• Jasmine Lanay Patrice Cavitt-Newton
• Molly B Cenker
• Center for Relational Health, PC
• Center for Relational Health, PC

• Naturopath in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Naturopath in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.