Active NPI
Cora Lee Clavel, LPN
- Licensed Practical Nurse
- Syracuse, NY
National Provider Identifier
1740512516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 299858-1
- Practice address
- 305 Hartson St
Syracuse, NY 13204-3409 - Phone
- (315) 416-9042
- NPI assigned
- Feb 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 299858-1 | NY | Primary |
| Mental Health Counselor | 101YM0800X | P99037 | NY |
Addresses
Primary practice location
305 Hartson St
Syracuse, NY 13204-3409
Mailing address
11 East Liberty St
Saint Johnsville, NY 13452
Phone (315) 269-5191
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 |
|---|---|---|---|
| P99037 | NY | MD | Mental Health Counselor |
| 299858-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1740512516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EAST LIBERTY ST",
"city": "SAINT JOHNSVILLE",
"state": "NY",
"postal_code": "13452",
"telephone_number": "315-269-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HARTSON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132043409",
"telephone_number": "315-416-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAVEL",
"first_name": "CORA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "299858-1",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P99037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.