Fern Canisha Sims, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN147129MIV Issued in OH

Practice address

30056 Euclid Ave Unit 5
Wickliffe, OH 44092-1664

Phone

(216) 392-3136

NPI assigned

Oct 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1811240260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30056 EUCLID AVE UNIT 5",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921664",
            "telephone_number": "216-392-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30056 EUCLID AVE UNIT 5",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921664",
            "telephone_number": "216-392-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "FERN",
        "middle_name": "CANISHA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN147129MIV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Shaw, PTA
• Matthew Stephen Sherlock, PA
• Sid Savitt, Inc.
• Barbara Sieger
• Signature Health, Inc.
• Helen Lorena Skvarca, RN
• Qiania Smiley
• Glynnisha Smith
• Speedway
• Virginia Eileen Strenger, PHD

• Licensed Practical Nurse in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.