Active NPI
Avis Colleen Love, LPN
- Licensed Practical Nurse
- Novi, MI
National Provider Identifier
1336566264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703053762
- Practice address
- 41621 West Eleven Mile Rd.
Centria Health Care
Novi, MI 48375 - Phone
- (248) 299-0030
- Fax
- (248) 438-1566
- NPI assigned
- Mar 28, 2014
- Last updated
- Mar 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703053762 | MI | Primary |
Addresses
Primary practice location
41621 West Eleven Mile Rd.
Centria Health Care
Novi, MI 48375
Mailing address
41621 West Eleven Mile Rd.
Centria Health Care
Novi, MI 48375
Phone (248) 299-0030
Other names 1
- Miss Avis Colleen Lindsey
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4703053762 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1336566264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41621 WEST ELEVEN MILE RD.",
"address_2": "CENTRIA HEALTH CARE",
"city": "NOVI",
"state": "MI",
"postal_code": "48375",
"telephone_number": "248-299-0030",
"fax_number": "248-438-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41621 WEST ELEVEN MILE RD.",
"address_2": "CENTRIA HEALTH CARE",
"city": "NOVI",
"state": "MI",
"postal_code": "48375",
"telephone_number": "248-299-0030",
"fax_number": "248-438-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "AVIS",
"middle_name": "COLLEEN",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703053762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVIS",
"last_name": "LINDSEY",
"middle_name": "COLLEEN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.