Individual provider Active NPI

Sylvanna Marie Lheureux, RDMS, RVT

  • Diagnostic Ultrasound Physician
  • Enterprise, AL
National Provider Identifier
1780204131
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
243376 Issued in GA
Practice address
96 Lakeside Dr
Enterprise, AL 36330-8956
Phone
(912) 321-0318
NPI assigned
Apr 25, 2020
Last updated
Apr 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 243376 GA Primary

Addresses

Primary practice location

96 Lakeside Dr
Enterprise, AL 36330-8956

Mailing address

96 Lakeside Dr
Enterprise, AL 36330-8956
Phone (912) 321-0318

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
243376GAMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1780204131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LAKESIDE DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308956",
            "telephone_number": "912-321-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LAKESIDE DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308956",
            "telephone_number": "912-321-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LHEUREUX",
        "first_name": "SYLVANNA",
        "middle_name": "MARIE",
        "credential": "RDMS, RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "243376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.