1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Nurse Practitioner
  6. NPI Profile

AMANDA CAVANAUGH
NPI 1588032775
Nurse Practitioner - Neonatal in Traverse City, MI

Active since September 04, 2015
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-6250 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2019, Sep 16, 2016 (2 updates tracked since 2016).

About Amanda Cavanaugh NPPES

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

AMANDA CAVANAUGH (NPI 1588032775) is an individual neonatal provider in Traverse City, Michigan, licensed in Mississippi (904262) and active in the NPI registry since September 2015. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1588032775
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameAMANDA CAVANAUGH
Location Address1105 SIXTH STTraverse City, MI 49684
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000
Phone(231) 935-6250
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
✔ NPI 1588032775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MS · 904262
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 1-115133 (AL)
1105 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-1000

Other Identifiers 1

Medicaid00102370MS

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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
MRS. MEGAN MIRANDA GAGE CCC-SLP
Speech-Language Pathologist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100

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 Amanda Cavanaugh's NPI number?

The NPI number for Amanda Cavanaugh is 1588032775. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Amanda Cavanaugh located?

Amanda Cavanaugh practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-6250.

What is Amanda Cavanaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Amanda Cavanaugh was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.