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KAVANAGH-FAYE MARIE BUSHNELL DO
NPI 1689421364
Military Health Care Provider in Portsmouth, VA

Active since May 01, 2024
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-5000 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kavanagh-faye Marie Bushnell Do NPPES

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

KAVANAGH-FAYE MARIE BUSHNELL DO (NPI 1689421364) is an individual military health care provider provider in Portsmouth, Virginia and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1689421364
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameKAVANAGH-FAYE MARIE BUSHNELLCredential: DO
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address12204 Wedgefield DrGrand Island, FL 32735-8498 · (808) 753-1973
Phone(757) 953-5000
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1689421364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Other Names 1

Other Name (5)Kavanagh-faye Marie Clark Do

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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Kavanagh-faye Bushnell's NPI number?

The NPI number for Kavanagh-faye Bushnell is 1689421364. It was assigned to this individual provider in the NPPES registry on May 1, 2024. The provider is also known as Kavanagh-Faye Marie Clark Do.

Where is Kavanagh-faye Bushnell located?

Kavanagh-faye Bushnell practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-5000.

What is Kavanagh-faye Bushnell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Kavanagh-faye Bushnell was last updated on May 1, 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.