COLETTE AUGUSTINA KAVANAUGH L.E.
NPI 1245979905
Technician, Other in Sacramento, CA

Q: What is Colette Kavanaugh's NPI number?

The NPI number for Colette Kavanaugh is 1245979905. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Q: What is Colette Kavanaugh's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Colette Kavanaugh was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 01, 2022

1721 EASTERN AVE STE 2, SACRAMENTO, CA 95864(916) 838-8240 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Colette Augustina Kavanaugh L.e. NPPES

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

COLETTE AUGUSTINA KAVANAUGH L.E. (NPI 1245979905) is an individual technician, other provider in Sacramento, California, licensed in California (9736) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1245979905

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameCOLETTE AUGUSTINA KAVANAUGHCredential: L.E.

Location Address1721 EASTERN AVE STE 2Sacramento, CA 95864-1745

Mailing Address3437 Maureen DrSacramento, CA 95821-3114 · (916) 838-8240

Phone(916) 838-8240

Sole ProprietorYes

Enumeration DateJune 1, 2022

Last NPPES UpdateApril 30, 2024

NPPES CertifiedJune 1, 2022

✔ NPI 1245979905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

License✔ Licensed in CA · 9736

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

1721 EASTERN AVE STE 2, Sacramento, CA 95864

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Colette Kavanaugh's NPI number?

The NPI number for Colette Kavanaugh is 1245979905. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Colette Kavanaugh located?

Colette Kavanaugh practices at 1721 Eastern Ave Ste 2, Sacramento, CA 95864. The listed phone number is (916) 838-8240.

What is Colette Kavanaugh's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Colette Kavanaugh was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.