Individual provider Active NPI

Kiana S Chappell

  • Nurse's Aide
  • East Cleveland, OH
National Provider Identifier
1831831791
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
TM908743 Issued in OH
Practice address
1635 Lakefront Ave
Eastcleveland, OH 44112
Phone
(216) 860-2578
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X TM908743 OH Primary

Addresses

Primary practice location

1635 Lakefront Ave
Eastcleveland, OH 44112

Mailing address

1635 Lakefront Ave
Eastcleveland, OH 44112
Phone (216) 860-2578

Other identifiers 1

IdentifierTypeStateIssuer
993739MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kianachappell1@gmail.com Other

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
TM908743OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1831831791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 LAKEFRONT AVE",
            "city": "EASTCLEVELAND",
            "state": "OH",
            "postal_code": "44112",
            "telephone_number": "216-860-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 LAKEFRONT AVE",
            "city": "EASTCLEVELAND",
            "state": "OH",
            "postal_code": "44112",
            "telephone_number": "216-860-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "KIANA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "TM908743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "993739",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kianachappell1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "kianachappell1@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EastCleveland",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kianachappell1@gmail.com",
            "address_1": "1635 lakefront ave",
            "city": "EastCleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.