Individual provider Active NPI

Kelly Lavette Armour, LPN

  • Licensed Practical Nurse
  • Austintown, OH
National Provider Identifier
1104259969
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.126964.MEDS-IV Issued in OH
Practice address
136 Westchester Dr Ste 5
Austintown, OH 44515-3965
Phone
(330) 270-1400
Fax
(330) 270-1404
NPI assigned
Aug 15, 2013
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.126964.MEDS-IV OH Primary

Addresses

Primary practice location

136 Westchester Dr Ste 5
Austintown, OH 44515-3965

Mailing address

3040 Belmont Ave Ste C
Youngstown, OH 44505-1836
Phone (330) 759-0276

Other names 1

  • Mrs. Kelly Lavette Armour Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.126964.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare, Inc. CurrentSince Apr 20, 2021 Accepting new patients

Locations

136 Westchester Dr
Ste 5
Youngstown, OH 44515
Phone (330) 270-1400

3040 Belmont Ave
Ste C
Youngstown, OH 44505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1104259969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BELMONT AVE STE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051836",
            "telephone_number": "330-759-0276",
            "fax_number": "330-759-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WESTCHESTER DR STE 5",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153965",
            "telephone_number": "330-270-1400",
            "fax_number": "330-270-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMOUR",
        "first_name": "KELLY",
        "middle_name": "LAVETTE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.126964.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ARMOUR",
            "middle_name": "LAVETTE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.