Individual provider Active NPI

Lakeeta S Higdon, LPN

  • Nurse's Aide
  • Cleveland, OH
National Provider Identifier
1154864478
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400171331002 Issued in OH
Practice address
989 Nathaniel Rd
Cleveland, OH 44110-3233
Phone
(216) 413-8496
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400171331002 OH Primary

Addresses

Primary practice location

989 Nathaniel Rd
Cleveland, OH 44110-3233

Mailing address

16218 Telfair Ave
Cleveland, OH 44128-3736
Phone (216) 553-9598

Other practice location 1

16218 Telfair Ave
Cleveland, OH 44128-3736
Phone (216) 553-9598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
400171331002OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1154864478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16218 TELFAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283736",
            "telephone_number": "216-553-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 NATHANIEL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103233",
            "telephone_number": "216-413-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16218 Telfair Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441283736",
            "country_code": "US",
            "telephone_number": "216-553-9598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "LAKEETA",
        "middle_name": "S",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2024-06-01",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400171331002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.