Deirdre Ice, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN.454681 Issued in KY

Practice address

13422 Kinsman Rd
Cleveland, OH 44120-4410

Phone

(216) 283-4400

Fax

(216) 283-5359

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1386203768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16225 CYNTHIA DR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422713",
            "telephone_number": "216-283-4400",
            "fax_number": "216-283-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204410",
            "telephone_number": "216-283-4400",
            "fax_number": "216-283-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "DEIRDRE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "KY",
            "license": "RN.454681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mugahid Ibrahim, MD
• Najma Omar Ibrahim
• Sally Ibrahim, M.D.
• Rona Ibrahimi, CPRS
• Sidonie Ibrikji, MD
• Jonah Ice
• Harold Melvin Ickes II
• Daveida Id-Deen
• Michelle K Idada, MPAS, PA-C
• Ideis Transportaion (On Time Mobility)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.