Active NPI
Donaven Jennings
- Licensed Practical Nurse
- Dayton, OH
National Provider Identifier
1669181236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- IP.0411435
- Practice address
- 2611 Wayne Ave
Dayton, OH 45420-1833 - Phone
- (937) 256-7801
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- 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 | IP.0411435 | OH | Primary |
Addresses
Primary practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Mailing address
2611 Wayne Ave
Dayton, OH 45420-1833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | donaven.jennings@accessoh.net |
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 |
|---|---|---|---|
| IP.0411435 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1669181236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201833",
"telephone_number": "937-256-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "DONAVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "IP.0411435",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "donaven.jennings@accessoh.net",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "2611 Wayne Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454201833",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.