Cierra Renee Drake, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

512034 Issued in OH

Practice address

1731 Mansfield Rd
Toledo, OH 43613-5245

Phone

(419) 944-6936

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trinity Lane Support Services

  • Developmentally Disabled Services Day Training Agency
  • Toledo, OH
  • NPI 1457039075
  NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1083109169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 REINWOOD DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135604",
            "telephone_number": "419-944-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 MANSFIELD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135245",
            "telephone_number": "419-944-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CIERRA",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "167906",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "512034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Shahs Fine Needle Aspiration Clinic, LLC
• Dr.Bonaventure C. Okoro MD, Inc.
• Romana Dragojevic, M.D.
• Allen Drake
• Ashley Lynn Drake, PHARM.D.
• Richard D Drake, MD
• Serina L Drake
• Annalisa Draper
• Dreamsquad Transportation Solutions
• Allison Drees

• Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.