Individual provider Active NPI

Kerry A Myers

  • Driver
  • Cleveland, OH
National Provider Identifier
1396566188
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
PW513628 Issued in OH
Practice address
1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone
(216) 535-9100
Fax
(216) 535-2626
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X PW513628 OH Primary

Addresses

Primary practice location

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004

Mailing address

2916 Central Ave
Cleveland, OH 44115-3229
Phone (216) 535-9100

Other practice location 1

2916 Central Ave
Cleveland, OH 44115-3229
Phone (216) 535-9100

Other practice location 2

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 535-9100

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
PW513628OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1396566188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153229",
            "telephone_number": "216-535-9100",
            "fax_number": "216-535-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 SAINT CLAIR AVE NE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142004",
            "telephone_number": "216-535-9100",
            "fax_number": "216-535-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153229",
            "country_code": "US",
            "telephone_number": "216-535-9100",
            "fax_number": "216-535-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44104",
            "country_code": "US",
            "telephone_number": "216-535-9100",
            "fax_number": "216-535-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KERRY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "PW513628",
            "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 Oct 23, 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.