Active NPI
Lyndon Dayao Avelino, BSN, RN
- Medical-Surgical Registered Nurse
- Glendale, AZ
National Provider Identifier
1578739702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN096243
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN096243 | AZ | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Desert sun Home Health
- Home Health Agency
- Phoenix, AZ
- NPI 1861771586
-
- Community Based Hospice Care Agency
- Glendale, AZ
- NPI 1659029379
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.