S Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.157757 Issued in OH

Practice address

9701 Lorain Ave
Cleveland, OH 44102-4753

Phone

(216) 369-7119

Fax

(216) 920-9973

NPI assigned

Dec 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exceptional Eyecare LLC

  • Optician
  • Cleveland, OH
  • NPI 1396084554

  Contact Lens Fitter

  NPD Authorized official
• Exceptional Nursing Services

  • Nursing Care Agency
  • Cleveland, OH
  • NPI 1700398302

  Licensed Practical Nurse

  NPD

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1457749673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442581873",
            "telephone_number": "216-369-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024753",
            "telephone_number": "216-369-7119",
            "fax_number": "216-920-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "OH",
            "license": "4545",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.157757",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "OH",
            "license": "SC.7149",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "SC.7149",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Smith
• Ronnie Smith
• Ruth Smith, LSW
• Ryan Dwyer Smith, OT
• Ryan Henry Smith
• Sackayla Smith
• Sandra L. Smith, CNP
• Sarah Smith
• Scott D Smith, MD
• Sha'Monique Smith

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, 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 Apr 16, 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.