Active NPI
Siobhan Nichole Smith
- Child Intellectual and/or Developmental Disabilities Respite Care
- Cleveland, OH
National Provider Identifier
1841078730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 10135 North Blvd
Cleveland, OH 44108-3433 - Phone
- (216) 323-7610
- NPI assigned
- Sep 20, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Nurse's Aide | 376K00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
10135 North Blvd
Cleveland, OH 44108-3433
Mailing address
10135 North Blvd
Cleveland, OH 44108-3433
Phone (216) 323-7610
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1841078730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10135 NORTH BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441083433",
"telephone_number": "216-323-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10135 NORTH BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441083433",
"telephone_number": "216-323-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SIOBHAN",
"middle_name": "NICHOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.