Jadeene Williams-Chisholm, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN460229 Issued in OH

Practice address

357 Dumbarton Blvd
Cleveland, OH 44143-1732

Phone

(216) 372-1744

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1184320772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 DUMBARTON BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441431732",
            "telephone_number": "216-372-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 DUMBARTON BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441431732",
            "telephone_number": "216-372-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-CHISHOLM",
        "first_name": "JADEENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OH",
            "license": "RN460229",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN460229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Willett, CRNA
• Spencer Willette, DO
• Jena Willey
• Tyesha William
• Eric Williams Stearnes
• Tamelita Williams-Harris
• Acacia Williams, MD
• Adjoni I Williams, MPH
• Adrian Williams
• Adrianna Clara-Ruth Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.