KATHERINE KAVANAUGH ARNP NPI 1821058306

NPI Information

NPI: 1821058306
Provider Name: KATHERINE KAVANAUGH, ARNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: BANNER HEALTH PHYSICIANS COLORADO LLC

PECOS Registration: Yes

Address:
600 7TH ST SE
CEDAR RAPIDS, IA
ZIP 52401
Phone: (319) 221-8800
Get Directions

Katherine Kavanaugh, ARNP is a critical care medicine nurse practitioner in Cedar Rapids, IA with 25 years of experience. Katherine Kavanaugh, ARNP NPI is 1821058306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 7TH ST SE
CEDAR RAPIDS, IA
ZIP 52401-112
Phone: (319) 221-8800
Fax: (319) 221-8787

The NPI 1821058306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 10/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	078725	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q51268	MEDICARE UPIN	IOWA
2	0470948	MEDICAID	IOWA
3	I16967	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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