Individual provider Active NPI

Myrlande Laguerre

  • Licensed Practical Nurse
  • Blue Ash, OH
National Provider Identifier
1932748696
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
410467 Issued in OH
Practice address
10921 Reed Hartman Hwy Ste 325
Blue Ash, OH 45242-2849
Phone
(317) 793-7391
NPI assigned
Dec 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 410467 OH Primary

Addresses

Primary practice location

10921 Reed Hartman Hwy Ste 325
Blue Ash, OH 45242-2849

Mailing address

5315 Thrasher Dr
Indianapolis, IN 46254-3566
Phone (317) 793-7391

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
410467OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memey Et Les JS Excellent Care, LLC Current Accepting new patients

Locations

10921 Reed Hartman Hwy
Ste 325
Blue Ash, OH 45242
Phone (317) 793-7391

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1932748696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 THRASHER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543566",
            "telephone_number": "317-793-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY STE 325",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422849",
            "telephone_number": "317-793-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUERRE",
        "first_name": "MYRLANDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "410467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.