Individual provider Active NPI

Cheryl A Hardwick-Stewart

  • Licensed Practical Nurse
  • Cleveland, OH
National Provider Identifier
1497874176
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN093524 Issued in OH
Practice address
10309 Rosehill Ave
Cleveland, OH 44104-3640
Phone
(216) 752-1305
Fax
(216) 355-5391
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN093524 OH Primary

Addresses

Primary practice location

10309 Rosehill Ave
Cleveland, OH 44104-3640

Mailing address

10309 Rosehill Ave
Cleveland, OH 44104-3640
Phone (216) 355-5391

Other identifiers 1

IdentifierTypeStateIssuer
2243969MedicaidOH

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
PN093524OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1497874176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 ROSEHILL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043640",
            "telephone_number": "216-355-5391",
            "fax_number": "800-662-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 ROSEHILL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043640",
            "telephone_number": "216-752-1305",
            "fax_number": "216-355-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK-STEWART",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN093524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243969",
            "state": "OH"
        }
    ],
    "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 Mar 12, 2009; 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.