Active NPI
Chamika Peacock
- Driver
- South Euclid, OH
National Provider Identifier
1497512727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1034 Argonne Rd
South Euclid, OH 44121-2913 - Phone
- (216) 315-0337
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1034 Argonne Rd
South Euclid, OH 44121-2913
Mailing address
1034 Argonne Rd
South Euclid, OH 44121-2913
Phone (216) 315-0337
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1497512727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 ARGONNE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212913",
"telephone_number": "216-315-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 ARGONNE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212913",
"telephone_number": "216-315-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "CHAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.