IndividualActive
Amanda Cavanaugh
NPI 1588032775 · Neonatal Nurse Practitioner · Traverse City, MI
Provider details
- NPI number
- 1588032775
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-115133 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 Sixth St
Traverse City, MI 49684
Phone: (231) 935-6250
Street-level locationGet directions
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Additional practice locations (2)
- 2500 N State StJackson, MS 39216-4500Phone: (601) 984-1000
- 2500 N State StJackson, MS 39216-4500Phone: (601) 984-1000
Registry dates
- Enumerated
- 2015-09-04
- Last updated
- 2019-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.