IndividualActive
Brenda Cavanaugh, NP
NPI 1639212517 · Neonatal Nurse Practitioner · Syracuse, NY
Provider details
- NPI number
- 1639212517
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 350221 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
301 Prospect Ave
Nicu
Syracuse, NY 13203-1807
Phone: (315) 448-5111
Fax: (315) 703-5079
Street-level locationGet directions
Mailing address
104 Union Ave
Syracuse, NY 13203-1843
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2013-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.