Individual provider Active NPI

Kristine Caroline Shreves, LPN-M-IV

  • Registered Nurse
  • Eastlake, OH
National Provider Identifier
1780075838
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
549922 Issued in OH
Practice address
698 Waverly Rd
Eastlake, OH 44095-2736
Phone
(440) 342-0256
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 549922 OH Primary
Licensed Practical Nurse 164W00000X 112156 OH

Addresses

Primary practice location

698 Waverly Rd
Eastlake, OH 44095-2736

Mailing address

698 Waverly Rd
Eastlake, OH 44095-2736
Phone (440) 342-0256

Other names 1

  • Miss Kristine Caroline Grinstead Former name

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
549922OHMDRegistered Nurse
112156OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1780075838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 WAVERLY RD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952736",
            "telephone_number": "440-342-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 WAVERLY RD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952736",
            "telephone_number": "440-342-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVES",
        "first_name": "KRISTINE",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LPN-M-IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "549922",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "112156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "GRINSTEAD",
            "middle_name": "CAROLINE",
            "prefix": "MISS",
            "credential": "LPN-M-IV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.