Secisha Marie Herndon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

139495 Issued in OH

Practice address

4903 E 96TH St
Garfield HTS, OH 44125-2117

Phone

(216) 673-1461

NPI assigned

Jan 15, 2019

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

State licenses

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1295209005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 ALVIN AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441057118",
            "telephone_number": "216-673-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 E 96TH ST",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252117",
            "telephone_number": "216-673-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "SECISHA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "139495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Hawkins
• Abdu George Hawwa, MD
• Heavenia'S Humble Heart RCF, LLC
• Kathleen A Hebebrand, MSN,RN,NP-C
• Helpful Hearts & Hands LLC
• Tiffaney Holland, LPN
• Laurie Ann Homa, LPN
• Jean Homrighausen, LISW
• Brandy Lenya Horne, CASE MANAGER
• Malea Howard

• Licensed Practical Nurse in Garfield HTS, OH
• Providers in Garfield HTS, 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 May 19, 2021; 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.