Jacquelyn Kavanaugh, CRNA - Nurse Anesthetist, Certified Registered in Norfolk, VA

Jacquelyn Kavanaugh, CRNA is a Nurse Anesthetist, Certified Registered based in Norfolk, Virginia. Jacquelyn Kavanaugh is licensed to practice in Virginia (license number 24049818) and her current practice location is 600 Gresham Dr, Norfolk, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 668-3871.

NPI number for Jacquelyn Kavanaugh is 1164430989 and her current mailing address is 1221 Westover Ave Apt B, Norfolk, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164430989.

Contact Information

Jacquelyn Kavanaugh, CRNA
600 Gresham Dr,
Norfolk, VA 23507-1904
(757) 668-3871
Not Available



Provider's Profile

Full NameJacquelyn Kavanaugh
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location600 Gresham Dr, Norfolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164430989
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 03/11/2009

Medical Identifiers

Medical identifiers for Jacquelyn Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164430989NPI-NPPES
009551590MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 24049818 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Kavanaugh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelyn Kavanaugh, CRNA
1221 Westover Ave Apt B,
Norfolk, VA 23507-1360

Ph: (757) 652-9741
Jacquelyn Kavanaugh, CRNA
600 Gresham Dr,
Norfolk, VA 23507-1904

Ph: (757) 668-3871

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Norfolk, VA

Deborah K Midgett,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 150 Kingsley Ln, Norfolk, VA 23505
Phone: 757-889-5109    
Louis C Devoles,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 150 Kingsley Ln, Norfolk, VA 23505
Phone: 757-889-5109    
Steven L Cantarutti, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 600 Gresham Dr, Norfolk, VA 23507
Phone: 757-388-3000    
John G Tyler, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 150 Kingsley Ln, Norfolk, VA 23505
Phone: 757-889-5109    
Teresa Cousins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 Gresham Dr, Norfolk, VA 23507
Phone: 757-668-3871    
Jennifer D Mcclain, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 150 Kingsley Ln, Norfolk, VA 23505
Phone: 757-889-5109    
Allen Mesick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 Gresham Dr, Norfolk, VA 23507
Phone: 757-668-3871    

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