Individual provider Active NPI

Cora Lee Clavel, LPN

  • Licensed Practical Nurse
  • Syracuse, NY
National Provider Identifier
1740512516
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299858-1 Issued in NY
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

Updated by the provider on Jan 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P99037NYMDMental Health Counselor
299858-1NYMDLicensed 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.

Verify at the official NPI Registry.