Kelly Cavanaugh, RDN, LD - Medicare Dietitian in Conway, AR

Kelly Cavanaugh, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Conway, Arkansas. Her current practice location is 2302 College Ave, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 513-5286.

Kelly Cavanaugh is licensed to practice in Arkansas (license number 1627) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114433851.

Contact Information

Kelly Cavanaugh, RDN, LD
2302 College Ave,
Conway, AR 72034-6297
(501) 513-5286
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Cavanaugh
GenderFemale
SpecialityDietitian, Registered
Location2302 College Ave, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114433851
  • Provider Enumeration Date: 12/18/2017
  • Last Update Date: 03/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789094236
  • Enrollment ID: I20201112000067

Medical Identifiers

Medical identifiers for Kelly Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114433851NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1627 (Arkansas)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. Kelly Cavanaugh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Cavanaugh, RDN, LD
2270 Meadowlake Rd Apt 803,
Conway, AR 72032-2676

Ph: () -
Kelly Cavanaugh, RDN, LD
2302 College Ave,
Conway, AR 72034-6297

Ph: (501) 513-5286

Reviews and Comments


Dietitian, Registered in Conway, AR

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Dr. Jerry Mayo, PHD, RDN
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Phone: 501-733-6575    
Mrs. Candace Lacy Turner, MS, RDN, LD
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Jolie Jackson, MS, RDN, LD
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Practice Location: 2302 College Ave, Conway, AR 72034
Phone: 501-513-5248    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.