1780122671 NPI number — PAMELA CAVINS NP-C

Table of content: PAMELA CAVINS NP-C (NPI 1780122671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780122671 NPI number — PAMELA CAVINS NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAVINS
Provider First Name:
PAMELA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780122671
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
249 ADAIR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW TAZEWELL
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37825-5055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-585-8734
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3004 CUMBERLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLESBORO
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40965-2343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-248-4162
Provider Business Practice Location Address Fax Number:
606-242-3429
Provider Enumeration Date:
02/10/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  22232 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 3018663 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)