Individual provider Active NPI

Angelique Suzzanne Velna, LPN

  • Licensed Practical Nurse
  • Painesville, OH
National Provider Identifier
1619299468
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
125289 IV Issued in OH
Practice address
945 Brentwood Dr
Painesville, OH 44077-2796
Phone
(440) 840-7093
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 125289 IV OH Primary

Addresses

Primary practice location

945 Brentwood Dr
Painesville, OH 44077-2796

Mailing address

945 Brentwood Dr
Painesville, OH 44077-2796
Phone (440) 840-7093

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

LicenseStateTypeSpecialty
125289 IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1619299468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BRENTWOOD DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772796",
            "telephone_number": "440-840-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BRENTWOOD DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772796",
            "telephone_number": "440-840-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELNA",
        "first_name": "ANGELIQUE",
        "middle_name": "SUZZANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "125289 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.