Shanita Avant
Individual provider Active NPI Driver · Maple Heights, OH
NPI 1265014153 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1265014153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 14488 Pease Rd
Maple Heights, OH 44137-1050 - Phone
- (216) 235-9474
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
14488 Pease Rd
Maple Heights, OH 44137-1050
Mailing address
14488 Pease Rd
Maple Heights, OH 44137-1050
Phone (216) 235-9474
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | savant82@yahoo.com | Direct |
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.