Individual provider Active NPI

Charvetta Terria Shanae Smith, RN

  • Registered Nurse
  • Cleveland, OH
National Provider Identifier
1538822713
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.522401 Issued in OH
Practice address
815 Superior Ave Ste 1618
Cleveland, OH 44114-2709
Phone
(216) 202-5273
NPI assigned
Oct 14, 2021
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN.522401OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.