Lany Sivongsay Avakian, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP17618 Issued in CA

Practice address

6121 N Thesta St
#204
Fresno, CA 93710-8603

Phone

(559) 438-7390

Fax

(559) 438-7166

NPI assigned

Apr 28, 2008

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

Other identifiers 1

Other names 1

• Lany Sivongsay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1689849879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "#204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-438-7390",
            "fax_number": "559-438-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "#204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-438-7390",
            "fax_number": "559-438-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "LANY",
        "middle_name": "SIVONGSAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP17618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689849879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANY",
            "last_name": "SIVONGSAY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Marie Austin
• Madison Haley Renee Austin
• Nicholas Andrew Austin, PHARMD
• Clint Auttapibarn
• Artashes Avakian, D.D.S.
• Norayr Avakian
• Isabel Rose Avalos-Samaniego
• Ana Avalos, D.D.S.
• Brittany Dyan Avalos
• Melinda Avalos

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.