Sherita Renee Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 130628 Issued in OH

Practice address

18814 Longview Ave
Maple Heights, OH 44137-1623

Phone

(216) 849-8295

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1073750832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18814 LONGVIEW AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371623",
            "telephone_number": "216-849-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18814 LONGVIEW AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371623",
            "telephone_number": "216-849-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERITA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN   130628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Smith
• Marquita Monique Smith
• Michelle E Smith
• Norquetta Smith
• Rajeen Smith
• Tawanna L Smith
• Teshema Shydale Smith
• Southgate Occupational Medicine and Therapy
• Tryreno N Sowell Sr.
• Spectera

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.