Active NPI
Chamika Poole
- Registered Nurse
- Dayton, OH
National Provider Identifier
1679450332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.438568
- Practice address
- 4601 Cantura Dr
Dayton, OH 45415-3203 - Phone
- (704) 780-0632
- NPI assigned
- Aug 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 6951 | OH | |
| Registered Nurse | 163W00000X | RN.438568 | OH | Primary |
Addresses
Primary practice location
4601 Cantura Dr
Dayton, OH 45415-3203
Mailing address
4601 Cantura Dr
Dayton, OH 45415-3203
Phone (704) 780-0632
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.438568 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cohab, LLC | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse
- Dayton, OH
- NPI 1255267761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1679450332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 CANTURA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153203",
"telephone_number": "704-780-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 CANTURA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153203",
"telephone_number": "704-780-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "CHAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-16",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "OH",
"license": "6951",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.438568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.