Individual provider Active NPI

Marnae Veleece Colston-Jackson, RN, BSN, MHA, DNP

  • Community Health Registered Nurse
  • Cleveland, OH
National Provider Identifier
1669347639
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN300474 Issued in OH
Practice address
1253 E 100TH St
Cleveland, OH 44108-3502
Phone
(216) 795-0688
Fax
(216) 795-0688
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X RN300474 OH Primary

Addresses

Primary practice location

1253 E 100TH St
Cleveland, OH 44108-3502

Mailing address

1253 E 100TH St
Cleveland, OH 44108-3502
Phone (216) 795-0688

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN300474OHMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1669347639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 E 100TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083502",
            "telephone_number": "216-795-0688",
            "fax_number": "216-795-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 E 100TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083502",
            "telephone_number": "216-795-0688",
            "fax_number": "216-795-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSTON-JACKSON",
        "first_name": "MARNAE",
        "middle_name": "VELEECE",
        "name_prefix": "Dr.",
        "credential": "RN, BSN, MHA, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN300474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 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.