Anika Lynette Avery-grant, is a
Dietitian, Registered based in Waterville, Ohio. Anika Lynette Avery-grant is licensed to practice in Ohio (license number LD.3857) and her current practice location is
54 E Colony Dr, Waterville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 668-1710.
NPI number for Anika Lynette Avery-grant is 1508508151 and her current mailing address is 2471 Plum Creek Ln, Roaming Shores, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508508151.
Healthcare Provider's Profile
| Full Name | Anika Lynette Avery-grant |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 54 E Colony Dr, Waterville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508508151
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Anika Lynette Avery-grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508508151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD.3857 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anika Lynette Avery-grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Anika Lynette Avery-grant,
2471 Plum Creek Ln,
Roaming Shores, OH 44084-9687
Ph: (440) 668-1710 | Anika Lynette Avery-grant,
54 E Colony Dr,
Waterville, OH 43566-8723
Ph: (440) 668-1710 |
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