Charmaine Zackery, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.138840.MEDS-IV Issued in OH

Practice address

2605 S Taylor Rd
Cleveland Heights, OH 44118-4259

Phone

(216) 904-7772

NPI assigned

May 27, 2024

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

State licenses

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1386484608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184259",
            "telephone_number": "216-904-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184259",
            "telephone_number": "216-904-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKERY",
        "first_name": "CHARMAINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.138840.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Maya Yokie, MAOM
• Freddie Young III
• Renetta Shavonne Young
• Susan Young
• Beryl Hazel Younkin
• Cheryl Zawacki
• Zebbs Care Solutions LLC
• Joseph Zebbs
• Kasarah Anastacia Zeno
• Marigold Zoghzoghi, APRN

• Licensed Practical Nurse in Cleveland Heights, OH
• Providers in Cleveland Heights, 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 27, 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.