Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allison Karine Kavanagh

Individual provider Family Nurse Practitioner · NPI 1073260469

Allison Karine Kavanagh is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2021, 5 years ago. Practices with Flagstaff Surgical Associates PA, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

1515 E Cedar Ave Ste A-3
Flagstaff, AZ 86004-1630
Phone: (928) 774-2788
Fax: (928) 774-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 271887 (AZ)

Record details

NPI number1073260469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004-1630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Flagstaff Surgical Associates Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Flagstaff