Takiyah Janae Smith, MN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

470188 Issued in OH

Practice address

12201 Euclid Ave
Cleveland, OH 44106-4310

Phone

(216) 721-4010

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1598473548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EUCLID AVE APT 707",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152144",
            "telephone_number": "248-894-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064310",
            "telephone_number": "216-721-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Euclid Ave Apt 707",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152144",
            "country_code": "US",
            "telephone_number": "248-894-8533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441033734",
            "country_code": "US",
            "telephone_number": "216-431-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAKIYAH",
        "middle_name": "JANAE",
        "name_prefix": "Ms.",
        "credential": "MN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "470188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Smith, FNP
• Susan Jane Smith
• Susanne Marie Smith, PA-C
• Suzanne Jean Smith, PH.D.
• Sydney Smith
• Talona M Smith
• Tamika Smith
• Tanner Smith
• Tarub Janan Smith
• Taylor-Marie Smith

• Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.