Individual provider Active NPI

Chammeeka Smith, CNA,STNA,CPR,BLS

  • Home Health Clinical Nurse Specialist
  • Cleveland, OH
National Provider Identifier
1497570899
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
601702270924 Issued in OH
Practice address
7621 Euclid Ave Apt 202
Cleveland, OH 44103-4858
Phone
(216) 333-8727
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X 601702270924 OH Primary

Addresses

Primary practice location

7621 Euclid Ave Apt 202
Cleveland, OH 44103-4858

Mailing address

7621 Euclid Ave
Cleveland, OH 44103-4885
Phone (216) 333-8727

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
601702270924OHMDHome Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1497570899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034885",
            "telephone_number": "216-333-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 EUCLID AVE APT 202",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034858",
            "telephone_number": "216-333-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAMMEEKA",
        "name_prefix": "Ms.",
        "credential": "CNA,STNA,CPR,BLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "OH",
            "license": "601702270924",
            "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 Nov 20, 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.