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EBONY CAVANAUGH MSN, AGPCNP-BC, RN
NPI 1902341084
Nurse Practitioner - Primary Care in Dallas, TX

Active since December 28, 2016
9696 SKILLMAN ST SUITE 220, DALLAS, TX 75243(469) 399-0380 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2022, Jun 6, 2022, Jan 31, 2022 and 5 more (8 updates tracked since 2016).

About Ebony Cavanaugh Msn, Agpcnp-bc, Rn NPPES

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

EBONY CAVANAUGH MSN, AGPCNP-BC, RN (NPI 1902341084) is an individual primary care provider in Dallas, Texas, licensed in Texas (AP132893) and active in the NPI registry since December 2016. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1902341084
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEBONY CAVANAUGHCredential: MSN, AGPCNP-BC, RN
Location Address9696 SKILLMAN ST SUITE 220Dallas, TX 75243
Mailing Address2552 Pettus DrForney, TX 75126-4158 · (469) 399-0380 · Fax (469) 925-2137
Phone(469) 399-0380
Sole ProprietorNo
Enumeration DateDecember 28, 2016
Last NPPES UpdateAugust 10, 20228 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1902341084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP132893
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP132893 (TX)
9696 SKILLMAN ST SUITE 220, Dallas, TX 75243
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Other Names 1

Professional Name (2)Ebony Cavanaugh Msn, Agpcnp-bc, Rn

Secondary Practice Location 1

Location 110000 N Central Expy Ste 400Dallas, TX 75231-4180 · Phone (214) 523-9645 · Fax (469) 925-2137

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Ebony Cavanaugh's NPI number?

The NPI number for Ebony Cavanaugh is 1902341084. It was assigned to this individual provider in the NPPES registry on December 28, 2016. The provider is also known as Ebony Cavanaugh Msn, Agpcnp-Bc, Rn.

Where is Ebony Cavanaugh located?

Ebony Cavanaugh practices at 9696 Skillman St Suite 220, Dallas, TX 75243. The listed phone number is (469) 399-0380.

What is Ebony Cavanaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Ebony Cavanaugh accept?

Health plans from Molina Healthcare list Ebony Cavanaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebony Cavanaugh was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.