Reniva Jo S. Avery, M.A. EL.ED.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

F254TZ Issued in KY

Practice address

3770 Defries Rd
Canmer, KY 42722

Phone

(270) 528-4416

Fax

(270) 528-4417

NPI assigned

Nov 1, 2006

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1114005840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 DEFRIES RD",
            "city": "CANMER",
            "state": "KY",
            "postal_code": "427229461",
            "telephone_number": "270-528-4416",
            "fax_number": "270-528-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 DEFRIES RD",
            "city": "CANMER",
            "state": "KY",
            "postal_code": "42722",
            "telephone_number": "270-528-4416",
            "fax_number": "270-528-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "RENIVA JO",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.A. EL.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "F254TZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continuity Coverage Solutions PLLC
• Leslie Jeffries

• Developmental Therapist in Canmer, KY
• Providers in Canmer, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.