Active NPI
Kieann Louise Gambrell, NURSE AID
- Nurse's Aide
- Garfield HTS, OH
National Provider Identifier
1619240769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 4988 E.110TH St.
Garfield HTS, OH 44125 - Phone
- (216) 644-9532
- NPI assigned
- Feb 21, 2012
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | OH | Primary |
Addresses
Primary practice location
4988 E.110TH St.
Garfield HTS, OH 44125
Mailing address
4684 Green Rd.
Warrensville HTS, OH 44128
Phone (216) 644-9532
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1619240769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4684 GREEN RD.",
"city": "WARRENSVILLE HTS",
"state": "OH",
"postal_code": "44128",
"telephone_number": "216-644-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 E.110TH ST.",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "44125",
"telephone_number": "216-644-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRELL",
"first_name": "KIEANN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "NURSE AID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.