Active NPI
Makafui Avemega
- Licensed Practical Nurse
- Spencerport, NY
National Provider Identifier
1629542873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 331338-1
- Practice address
- 20 Caraway LN
Spencerport, NY 14559-1721 - Phone
- (585) 733-1765
- NPI assigned
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 331338-1 | NY | Primary |
Addresses
Primary practice location
20 Caraway LN
Spencerport, NY 14559-1721
Mailing address
20 Caraway LN
Spencerport, NY 14559-1721
Phone (585) 733-1765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331338-1 | Other | NY | LPN LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 331338-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1629542873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CARAWAY LN",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591721",
"telephone_number": "585-733-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CARAWAY LN",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591721",
"telephone_number": "585-733-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVEMEGA",
"first_name": "MAKAFUI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "331338-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE NUMBER",
"identifier": "331338-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.