Avance Care P.a.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

2010-01420 Issued in NC

Legal business name

AVANCE CARE P.A.

Doing business as

Avance Care - North Raleigh

Practice address

12341 Strickland Rd
102
Raleigh, NC 27613

Phone

(919) 865-8000

NPI assigned

Sep 2, 2011

Last updated

Jun 28, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Avance Care - North Raleigh Doing business as

Part of

Medvantx Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda R Steventon, MD

  • Family Medicine Physician
  • Fuquay Varina, NC
  • NPI 1295090942
  NPD

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1942581947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12341 STRICKLAND RD",
            "address_2": "102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27613",
            "telephone_number": "919-865-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANCE CARE P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2011-09-02",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF  OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "2010-01420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avance Care - North Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Avakian, C.P.O.
• Avalon # 3
• Avalon # 3
• Avalon # 4
• Avalon Family Care Home #6
• Avance Health System Inc (Oberlin Road Pharmacy)
• Avc Primary Care
• Alexander Averell, LCAS
• Dan Morrissette Averett, D.D.S.
• Avery Ridge Counseling, PLLC

• Non-Pharmacy Dispensing Site in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.