Individual provider Active NPI

Candace Latrice Lenyard, L.P.N.

  • Licensed Practical Nurse
  • Maple Heights, OH
National Provider Identifier
1194051342
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN. 125285 Issued in OH
Practice address
6100 Lee Rd S
Apt. 216
Maple Heights, OH 44137-4538
Phone
(216) 375-6640
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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 PN. 125285 OH Primary

Addresses

Primary practice location

6100 Lee Rd S
Apt. 216
Maple Heights, OH 44137-4538

Mailing address

6100 Lee Rd S
Apt. 216
Maple Heights, OH 44137-4538
Phone (216) 375-6640

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
PN. 125285OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1194051342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LEE RD S",
            "address_2": "APT. 216",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374538",
            "telephone_number": "216-375-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LEE RD S",
            "address_2": "APT. 216",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374538",
            "telephone_number": "216-375-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENYARD",
        "first_name": "CANDACE",
        "middle_name": "LATRICE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 125285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.