Kanika Nicole Colvin

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

400748890508 Issued in OH

Practice address

4183 E 154TH St
Cleveland, OH 44128-1933

Phone

(216) 315-0419

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1528464252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 E 154TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281933",
            "telephone_number": "216-315-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 E 154TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281933",
            "telephone_number": "216-315-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "KANIKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400748890508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Colver, LISW
• Aminah Colvin
• Arissa Nyshell-Marie Colvin
• Cassy Colvin
• Christina Marie Colvin, MSN, AOCNS, CRNI
• Laticia Colvin, LPN
• Riva Colvin, LICDC
• Yvette Colvin
• Lauren Colwell, PA-C
• Carol Lynn Combs, LPCC

• Home Health Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.