Individual provider Active NPI

Sharrese Monique Goldsby, LPN

  • Licensed Practical Nurse
  • Cleveland Heights, OH
National Provider Identifier
1669830501
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
151539 Issued in OH
Practice address
2440 Noble Rd
Cleveland Heights, OH 44121-2165
Phone
(216) 659-4004
NPI assigned
Feb 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 151539 OH Primary

Addresses

Primary practice location

2440 Noble Rd
Cleveland Heights, OH 44121-2165

Mailing address

2440 Noble Rd Apt 404
Cleveland Heights, OH 44121-2130
Phone (216) 659-4004

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

State licenses

LicenseStateTypeSpecialty
151539OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1669830501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 NOBLE RD APT 404",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212130",
            "telephone_number": "216-659-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 NOBLE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212165",
            "telephone_number": "216-659-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBY",
        "first_name": "SHARRESE",
        "middle_name": "MONIQUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "151539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.