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Active NPI 1205983608 Individual Practitioner Female Practitioner

Ellen Cavanaugh , APRN

Nurse Practitioner - Gerontology • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Ellen Cavanaugh, APRN is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Phoenix, AZ. Practice services are available at 3141 N 3RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3141 N 3rd Ave
Az9501000

Phoenix, AZ 850134351

Telephone 6027457925
Associated Practice Facility / Clinic
🏢 District Medical Group, Inc Facility NPI 1407106719

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Phoenix, AZ (159 Statewide)

Telehealth Adoption Rate
14.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License AZ RN-044483

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1013020684

Doctor of Medicine (M.D.)

Bonnie Hartley , LCSW

Social Worker - Clinical

NPI 1013346766

Licensed Clinical Social Worker

Lauren Shoemaker , SLP

Speech-Language Pathologist

NPI 1013362326

Speech-Language Pathologist

Dominica Dieffenbach , RD

Dietitian, Registered

NPI 1013427517

Registered Dietitian

Marie Lanzon , PNP

Nurse Practitioner - Pediatrics

NPI 1073694204

Pediatric Nurse Practitioner

Linda Bonds , NP

Nurse Practitioner - Adult Health

NPI 1114073087

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3141 N 3RD AVE, AZ9501000, PHOENIX, AZ 850134351 (Tel: 6027457925)

📍
Updated Business Mailing Address July 08, 2007

Registered at 819 W LODGE DR, TEMPE, AZ 852833570

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN CAVANAUGH, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #RN-044483 in AZ)

🟢
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205983608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

819 W Lodge Dr

Tempe, AZ 852833570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.