Active NPI
Charvetta Terria Shanae Smith, RN
- Registered Nurse
- Cleveland, OH
National Provider Identifier
1538822713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.522401
- Practice address
- 815 Superior Ave Ste 1618
Cleveland, OH 44114-2709 - Phone
- (216) 202-5273
- NPI assigned
- Oct 14, 2021
- Last updated
- Dec 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.522401 | OH | Primary |
Addresses
Primary practice location
815 Superior Ave Ste 1618
Cleveland, OH 44114-2709
Mailing address
3471 E 145TH St
Cleveland, OH 44120-4142
Phone (440) 656-7262
Other names 1
- Ms. Charvetta Terria Shanae Carter
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.522401 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNC Serenity LLC | Single Specialty | Current | Accepting new patients |
Locations
815 Superior Ave
Ste 1618
Cleveland, OH 44114
Phone (440) 812-1113
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1538822713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 E 145TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441204142",
"telephone_number": "440-656-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 SUPERIOR AVE STE 1618",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142709",
"telephone_number": "216-202-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHARVETTA",
"middle_name": "TERRIA SHANAE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.522401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARVETTA",
"last_name": "CARTER",
"middle_name": "TERRIA SHANAE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.