Monica Lavender

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

172662 Issued in OH

Practice address

24340 Lincolnville Ave
Oakwood Village, OH 44146-5708

Phone

(216) 702-4359

NPI assigned

Dec 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1275170771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 LINCOLNVILLE AVE",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441465708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24340 LINCOLNVILLE AVE",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441465708",
            "telephone_number": "216-702-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "172662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jordan
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• James Weston Klag, PHARMD
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• Ailing Li, M.D.
• Ezandra Linton
• Alexis Lodge, RN
• Tara Lozito, MS, BCBA, COBA, LBA
• Medical Service Company (Medical Service Companies)

• Licensed Practical Nurse in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.