Active NPI
Jennifer A Avakian, C.P.O.
- Prosthetist
- Raleigh, NC
National Provider Identifier
1215052352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 23 Sunnybrook Rd
Ste. 185
Raleigh, NC 27610-1855 - Phone
- (919) 231-3132
- Fax
- (919) 231-3107
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | NC | ||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
23 Sunnybrook Rd
Ste. 185
Raleigh, NC 27610-1855
Mailing address
23 Sunnybrook Rd
Ste. 185
Raleigh, NC 27610-1855
Phone (919) 231-3132
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": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1215052352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SUNNYBROOK RD",
"address_2": "STE. 185",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101855",
"telephone_number": "919-231-3132",
"fax_number": "919-231-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SUNNYBROOK RD",
"address_2": "STE. 185",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101855",
"telephone_number": "919-231-3132",
"fax_number": "919-231-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVAKIAN",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.