1. Home
  2. Directory
  3. Louisiana
  4. Hammond
  5. Licensed Practical Nurse
  6. NPI Profile

MS. DESIREE ALIS KAVANAUGH LPN
NPI 1275128258
Licensed Practical Nurse in Hammond, LA

Active since March 02, 2021
615 PRIDE DR, HAMMOND, LA 70401(985) 419-1666(985) 429-8999 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Desiree Alis Kavanaugh Lpn NPPES

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

MS. DESIREE ALIS KAVANAUGH LPN (NPI 1275128258) is an individual licensed practical nurse in Hammond, Louisiana, licensed in Louisiana (280475) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1275128258
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. DESIREE ALIS KAVANAUGHCredential: LPN
Location Address615 PRIDE DRHammond, LA 70401-9523
Mailing Address615 Pride DrHammond, LA 70401-9523 · (985) 419-1666 · Fax (985) 429-8999
Phone(985) 419-1666
Fax(985) 429-8999
Sole ProprietorNo
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1275128258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in LA · 280475
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
615 PRIDE DR, Hammond, LA 70401
Open in Google Maps ↗

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.

CHOICES OF LOUISIANA AT NORTHSHORE LLC
Clinic/Center (Methadone)
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
FAITH STAR MANCIL
Counselor (Addiction (Substance Use Disorder))
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 215-8978
MRS. SARA ELIZABETH DUPREE-WOLF LAC 5030
Counselor (Addiction (Substance Use Disorder))
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
MRS. MELISSA DUTCHESS LPN
Licensed Practical Nurse
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
MEGAN GUITREAU
Licensed Practical Nurse
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
MRS. AALIYAH JADE HARPER LPN
Licensed Practical Nurse
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
AMANDA EVANGELINE CLELAND
Counselor (Addiction (Substance Use Disorder))
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666
KIMBERLY D D LARSON LPN
Licensed Practical Nurse
615 PRIDE DR
HAMMOND, LA 70401
Tangipahoa Parish (985) 419-1666

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 Desiree Kavanaugh's NPI number?

The NPI number for Desiree Kavanaugh is 1275128258. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Desiree Kavanaugh located?

Desiree Kavanaugh practices at 615 Pride Dr, Hammond, LA 70401. The listed phone number is (985) 419-1666.

What is Desiree Kavanaugh's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Desiree Kavanaugh was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.