Callie Summerfield Cavener

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

3747P1801X Issued in OR

Practice address

1215 Sleepy Hollow Loop
Grants Pass, OR 97527-9582

Phone

(541) 450-8293

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1922766898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SLEEPY HOLLOW LOOP",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279582",
            "telephone_number": "541-450-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SLEEPY HOLLOW LOOP",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279582",
            "telephone_number": "541-450-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENER",
        "first_name": "CALLIE",
        "middle_name": "SUMMERFIELD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OR",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL CARE",
            "identifier": "JC601M8A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Personal Care Attendant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.