Individual provider Active NPI

Cherice Lavender McDonald

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1316716087
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
167196 Issued in OH
Practice address
4050 Executive PK Dr Ste 100
Cincinnati, OH 45241-2020
Phone
(513) 275-6023
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 167196 OH Primary

Addresses

Primary practice location

4050 Executive PK Dr Ste 100
Cincinnati, OH 45241-2020

Mailing address

4050 Executive PK Dr Ste 100
Cincinnati, OH 45241-2020
Phone (513) 275-6023

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
167196OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1316716087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 EXECUTIVE PK DR STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412020",
            "telephone_number": "513-275-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 EXECUTIVE PK DR STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412020",
            "telephone_number": "513-275-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER MCDONALD",
        "first_name": "CHERICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "167196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.