Deasha Cage
Individual provider Active NPI Licensed Practical Nurse · East Cleveland, OH
NPI 1972200103 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1972200103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 167439 (OH)
- Practice address
- 15007 Euclid Ave
East Cleveland, OH 44112 - Phone
- (216) 259-9972
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167439 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 167439 | OH | Yes |
Addresses
Primary practice location
15007 Euclid Ave
East Cleveland, OH 44112
Mailing address
20601 Nicholas Ave
Euclid, OH 44123-3016
Phone (216) 474-3006
Other providers in East Cleveland, OH
- John D Brownlee
- Shamanique Ramika Bryant
- Benita Willetta Burch
- Jeanetta Marie Burrage
- Kiara Michelle Cadiz-Robles
- Anne L Campbell
- Richard Louis Canaly
- Carrington
- Dwight K. Carson
- Rodney Carter
All providers in East Cleveland, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.