Individual provider Active NPI

Monique Denelle Avent, LPN

  • Licensed Practical Nurse
  • Syracuse, NY
National Provider Identifier
1144575465
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
281375 Issued in NY
Practice address
310 Renwick Ave
Syracuse, NY 13210-2321
Phone
(315) 383-3789
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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 281375 NY Primary

Addresses

Primary practice location

310 Renwick Ave
Syracuse, NY 13210-2321

Mailing address

310 Renwick Ave
Syracuse, NY 13210-2321
Phone (315) 383-3789

Other names 1

  • Monique Denelle Smith 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

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1144575465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 RENWICK AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102321",
            "telephone_number": "315-383-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RENWICK AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102321",
            "telephone_number": "315-383-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENT",
        "first_name": "MONIQUE",
        "middle_name": "DENELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "281375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "SMITH",
            "middle_name": "DENELLE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.