COLLEEN MEGAN CANAVAN
NPI 1225971070
Nurse Practitioner - Obstetrics & Gynecology in Waltham, MA

Active since April 14, 2026
130 SECOND AVE, WALTHAM, MA 02451(781) 434-6500 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleen Megan Canavan NPPES

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

COLLEEN MEGAN CANAVAN (NPI 1225971070) is an individual obstetrics & gynecology provider in Waltham, Massachusetts, licensed in Massachusetts (RN2344154) and active in the NPI registry since April 2026. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1225971070
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameCOLLEEN MEGAN CANAVAN
Location Address130 SECOND AVEWaltham, MA 02451-1158
Mailing Address83 Guernsey StRoslindale, MA 02131-2316 · (978) 831-2367
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1225971070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in MA · RN2344154
130 SECOND AVE, Waltham, MA 02451

Secondary Practice Location 1

Location 11 Liberty Sq Fl 9Boston, MA 02109-4825 · Phone (857) 244-6750

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
130 SECOND AVE
WALTHAM, MA 02451
Registered Nurse (Reproductive Endocrinology/Infertility)
130 SECOND AVE
WALTHAM, MA 02451
Obstetrics & Gynecology (Reproductive Endocrinology)
130 SECOND AVE
WALTHAM, MA 02451
Obstetrics & Gynecology (Reproductive Endocrinology)
130 SECOND AVE
WALTHAM, MA 02451
Obstetrics & Gynecology (Reproductive Endocrinology)
130 SECOND AVE
WALTHAM, MA 02451
Nurse Practitioner (Women's Health)
130 SECOND AVE
WALTHAM, MA 02451
Nurse Practitioner (Obstetrics & Gynecology)
130 SECOND AVE
WALTHAM, MA 02451

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 Colleen Canavan's NPI number?

The NPI number for Colleen Canavan is 1225971070. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Colleen Canavan located?

Colleen Canavan practices at 130 Second Ave, Waltham, MA 02451. The listed phone number is (781) 434-6500.

What is Colleen Canavan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Colleen Canavan was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.