Ebony Cavanaugh, MSN, AGPCNP-BC, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP132893 Issued in TX

Practice address

9696 Skillman St Suite 220
Dallas, TX 75243

Phone

(469) 399-0380

NPI assigned

Dec 28, 2016

Last updated

Aug 10, 2022By 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 2

Addresses

Other names 1

• Ebony Cavanaugh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1902341084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 PETTUS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264158",
            "telephone_number": "469-399-0380",
            "fax_number": "469-925-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 SKILLMAN ST SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "469-399-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 N Central Expy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314180",
            "country_code": "US",
            "telephone_number": "214-523-9645",
            "fax_number": "469-925-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "EBONY",
        "credential": "MSN, AGPCNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP132893",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "CAVANAUGH",
            "credential": "MSN, AGPCNP-BC, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Catteau, MD
• Donna Catterton
• Debra Louise Caudy, M.D.
• Erica Caughlan
• Cavanaugh Healthcare Associates PLLC
• Mark Richard Cavanaugh, M.D.
• Keith Michael Cavaness, D.O.
• David Cavazos
• David Cavazos, FNP-C
• Jenna B Cavazos, AA

• Primary Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.