Audrey Rae Mayette, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

276768-1 Issued in NY

Practice address

3348 Lisk Rd
Odessa, NY 14869-9761

Phone

(607) 594-4883

NPI assigned

Mar 17, 2010

Last updated

Mar 17, 2010By the provider in NPPES

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1841514940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 LISK RD",
            "city": "ODESSA",
            "state": "NY",
            "postal_code": "148699761",
            "telephone_number": "607-594-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 LISK RD",
            "city": "ODESSA",
            "state": "NY",
            "postal_code": "148699761",
            "telephone_number": "607-594-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYETTE",
        "first_name": "AUDREY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Karski, RN
• Alicia Mahaney
• Odessa-Montour Central School

• Licensed Practical Nurse in Odessa, NY
• Providers in Odessa, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.