Lisa Marie Dunnavant, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 105586 Issued in OH

Practice address

355 Pinewood Ave
Toledo, OH 43604-8117

Phone

(419) 243-8869

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By the provider in NPPES

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

Other identifiers 1

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1558511840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PINEWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048117",
            "telephone_number": "419-243-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PINEWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048117",
            "telephone_number": "419-243-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNAVANT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 105586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2773548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dunn
• Michelle Elane Dunn, MT
• Phuoc Dunn, RN
• Sarah Dunn, PHARMD
• Tara Dunn
• Cary Dunne, DDS
• Hannah Alexis Dunning
• Rain A Dunnom
• Ida Estelle Dunson, RN
• Tommy Dunson

• Licensed Practical Nurse in Toledo, OH
• Providers in Toledo, 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 Sep 24, 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.

Verify at the official NPI Registry.