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

Caitlin Hanavan, RN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1366005068

Caitlin Hanavan, RN, FNP-C is a Nurse Practitioner in Oakland, California. Qualified in 2017, 9 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3451 E 12th St
Oakland, CA 94601-3463
Phone: (510) 535-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 — (925) 431-2100
  • 1894 Walton Ave, Bronx, NY 10453-6018 — (718) 583-3060
  • 340 W 85th St, New York, NY 10024-6265 — (212) 678-0570

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95015134 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F344494 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 740098 (NY)

Record details

NPI number1366005068
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-C
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESAugust 2, 2021
Certification dateJuly 7, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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