Charnese Sudberry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

175354 Issued in OH

Practice address

3470 E 102ND St
Cleveland, OH 44104-5544

Phone

(216) 296-9141

NPI assigned

Jun 12, 2026

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

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1134053242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 E 102ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045544",
            "telephone_number": "216-296-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 E 102ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045544",
            "telephone_number": "216-296-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBERRY",
        "first_name": "CHARNESE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "175354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suja S Subramanyan, M.D.
• Jack E Subsinsky
• Suburban Urology Inc.
• Amy Such
• Julie M Such, CNP
• Keith Sudberry, CDCA
• Frederick Curtis Sudbury, MD
• Rajkamal Vishnu Sudha Krishnagopal
• Shwetha Sudhakar
• Gopakumar Sudhakaran Nair, MD

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, 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 Jun 12, 2026; 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.