Shaunte Niquia Averhart, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

125943 Issued in OH

Practice address

540 W Laclede Ave
Youngstown, OH 44511-1742

Phone

(330) 397-5689

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1811247422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W LACLEDE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111742",
            "telephone_number": "330-397-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W LACLEDE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111742",
            "telephone_number": "330-397-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERHART",
        "first_name": "SHAUNTE",
        "middle_name": "NIQUIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "125943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Associates of Northeast Ohio Inc.
• June Austin-Wells, LPC
• Paige Taylor Austin, PA-C
• Austintown Pediatrics Inc
• Austintown Township Trustees
• Rachel Lynn Averill
• Avry'S Orthotic Facility Inc.
• Jeanine Awad-Spirtos, M.D.
• Maged Ibrahim Awadalla, M.D.
• Amy Beth Awaida, M.D.

• All providers in Youngstown, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.