Individual provider Active NPI

Lyndon Dayao Avelino, BSN, RN

  • Medical-Surgical Registered Nurse
  • Glendale, AZ
National Provider Identifier
1578739702
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
RN096243 Issued in AZ
Practice address
7230 W Lamar Rd
Glendale, AZ 85303-7617
Phone
(623) 242-9661
Fax
(623) 242-9661
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN096243 AZ
Medical-Surgical Registered Nurse 163WM0705X RN096243 AZ Primary
Orthopedic Registered Nurse 163WX0800X RN096243 AZ

Addresses

Primary practice location

7230 W Lamar Rd
Glendale, AZ 85303-7617

Mailing address

7230 W Lamar Rd
Glendale, AZ 85303-7617
Phone (623) 242-9661

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN096243AZMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Hospice LLC Current Accepting new patients
Desert Sun Home Health, LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1578739702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853037617",
            "telephone_number": "623-242-9661",
            "fax_number": "623-242-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853037617",
            "telephone_number": "623-242-9661",
            "fax_number": "623-242-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVELINO",
        "first_name": "LYNDON",
        "middle_name": "DAYAO",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "RN096243",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN096243",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "AZ",
            "license": "RN096243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.