Active NPI
Barbara Lavogue, FNP
- Family Nurse Practitioner
- Lakewood, OH
National Provider Identifier
1659653582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12573NP
- Practice address
- 1439 W Clifton Blvd
Lakewood, OH 44107-3308 - Phone
- (860) 559-2485
- Fax
- (440) 934-6147
- NPI assigned
- Sep 16, 2011
- Last updated
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12573NP | OH | Primary |
Addresses
Primary practice location
1439 W Clifton Blvd
Lakewood, OH 44107-3308
Mailing address
1439 W Clifton Blvd
Lakewood, OH 44107-3308
Phone (860) 559-2485
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H036360 | Other | OH | MEDICARE-(P-TAN) |
| 0058385 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12573NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite NP, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Rocky River, OH
- NPI 1881917177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1659653582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 W CLIFTON BLVD",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073308",
"telephone_number": "860-559-2485",
"fax_number": "440-934-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 W CLIFTON BLVD",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073308",
"telephone_number": "860-559-2485",
"fax_number": "440-934-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVOGUE",
"first_name": "BARBARA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "12573NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-(P-TAN)",
"identifier": "H036360",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058385",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.