Casey L Cavanaugh, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

200 West Hospital Drive
Whiteriver, AZ 85941-0860

Phone

(928) 338-3647

Fax

(928) 338-3522

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1932332970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "address_2": "200 WEST HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860",
            "telephone_number": "928-338-3647",
            "fax_number": "928-338-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860",
            "telephone_number": "928-338-3647",
            "fax_number": "928-338-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "CASEY",
        "middle_name": "L",
        "credential": "M.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, MEDICAID, AND UPIN",
            "identifier": "50",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Alberto Burgos, RN
• Beverly A Cail, DNP, FNP-C
• Brian N Campbell, PHARM.D.
• Ashley Nichole Carnright, RN
• Rachael Caster, D.O.
• Kathleen Margaret Chamberlain, RN, BSN, CDE
• Kandy Leigh Chintis, RN
• Cynthia Chism
• Elizabeth Catherine Clark, D.O.
• Eben Clattenburg

• Registered Dietitian in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.