Ava Christine Drake

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15379 60TH Ave N
Plymouth, MN 55446-4541

Phone

(612) 965-3718

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1598445702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15379 60TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464541",
            "telephone_number": "612-965-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15379 60TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464541",
            "telephone_number": "612-965-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "AVA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Doth
• Anne Doucette
• Jeffrey Allen Doughty, DPT
• Zachary Nelson Doyle, DPT
• Dr. Benton McCone P.a.
• Amanda Bailey Drees, PHARMD, RPH
• DRS Williams & Wimmer DDS PA
• Dillon Joseph Dryja, CRNA
• Lauren Lynn Ducklow, PA-C
• Tyler Duckworth, MD

• All providers in Plymouth, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.