Donald Ray Avery Jr., Nurse Practitioner
Nurse Practitioner, Primary Care in Lexington, KY. Individual provider (NPI-1).
NPI number1669974119
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1669974119
- Entity type
- Individual (NPI-1)
- Name
- Mr. Donald Ray Avery Jr.
- Credential
- Nurse Practitioner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 3012133 | KY | Yes |
Practice location
1050 Chinoe Rd Ste 350Lexington, KY 40502-6571
Phone 859-255-0075
Mailing address
611 Park Ave, LouisvilleLouisville, KY 40208
Phone 502-338-8884
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