JOSEPH HIGGINS KAVANAUGH
NPI 1093558371
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since June 14, 2024
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Jun 14, 2024 (2 updates tracked since 2024).

About Joseph Higgins Kavanaugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH HIGGINS KAVANAUGH (NPI 1093558371) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1093558371
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH HIGGINS KAVANAUGH
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-4000
Sole ProprietorYes
Enumeration DateJune 14, 2024
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1093558371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1638 OWEN DR, Fayetteville, NC 28304

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Kavanaugh's NPI number?

The NPI number for Joseph Kavanaugh is 1093558371. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Joseph Kavanaugh located?

Joseph Kavanaugh practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.

What is Joseph Kavanaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Joseph Kavanaugh was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.