Lyshae Cross, REGISTERED NURSE

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN-455717 Issued in OH

Practice address

3461 Warrensville Center Rd Ste 203
Shaker Heights, OH 44122-5227

Phone

(216) 882-3165

Fax

(216) 712-4746

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1639768146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 203",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-882-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 203",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-882-3165",
            "fax_number": "216-712-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "LYSHAE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800944-S",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OH",
            "license": "RN-455717",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN-455717",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OH",
            "license": "RN-455717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Corrigan
• Chloe Corrion
• Cosmopolitan Dermatology, Inc.
• Brenna Coulter
• Nancy E Craft, ATC
• Reginald Cross, BA
• Duane D. Culler, LISW, CGC
• Jessica Bliss Cusimano, PSYD
• Melissa D Cyphert
• Jerry James Dabato IV

• Infusion Therapy Registered Nurse in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Infusion Therapy Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.