Kiana Bates, RN
Individual provider Active NPI Registered Nurse · Shaker HTS, OH
NPI 1013580224 · NPPES record last updated Jul 24, 2021
Key facts
- NPI
- 1013580224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN-444908 (OH)
- Practice address
- 3666 Pennington Rd
Shaker HTS, OH 44120-5066 - Phone
- (216) 357-9104
- NPI assigned
- Jul 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-444908 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-444908 | OH | Yes |
Addresses
Primary practice location
3666 Pennington Rd
Shaker HTS, OH 44120-5066
Mailing address
3666 Pennington Rd
Shaker HTS, OH 44120-5066
Phone (216) 357-9104
Other providers in Shaker HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.