Sharon Dayse Avenot, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

239683 Issued in SC

Practice address

1935 N Smokerise Way
Mount Pleasant, SC 29466-7610

Phone

(843) 817-3706

NPI assigned

Jan 12, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Mary House

  • Nursing Care Agency
  • Mount Pleasant, SC
  • NPI 1508321589
  NPD (past) Authorized official

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1194299115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N SMOKERISE WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667610",
            "telephone_number": "843-817-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N SMOKERISE WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667610",
            "telephone_number": "843-817-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENOT",
        "first_name": "SHARON",
        "middle_name": "DAYSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SC",
            "license": "239683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "000000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lynda Michelle Avera, APRN
• B
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• General Practice Registered Nurse in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• General Practice Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.