Individual provider Active NPI

Kimyatta Marie Stewart, PERSNAL CARE AIDE

  • Nurse's Aide
  • East Cleveland, OH
National Provider Identifier
1629287669
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
1522 Eddington Rd
Floor 2
East Cleveland, OH 44118-1129
Phone
(216) 396-8052
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X OH Primary

Addresses

Primary practice location

1522 Eddington Rd
Floor 2
East Cleveland, OH 44118-1129

Mailing address

1522 Eddington Rd
Floor 2
East Cleveland, OH 44118-1129
Phone (216) 396-8052

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1629287669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 EDDINGTON RD",
            "address_2": "FLOOR 2",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441181129",
            "telephone_number": "216-396-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 EDDINGTON RD",
            "address_2": "FLOOR 2",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441181129",
            "telephone_number": "216-396-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMYATTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PERSNAL CARE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.