Cynthia Greidele Clark, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

120687 Issued in OH

Practice address

3549 Nordway Rd
Cleveland Heights, OH 44118-3605

Phone

(216) 570-1879

NPI assigned

Aug 4, 2010

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1982918645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 NORDWAY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183605",
            "telephone_number": "216-570-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 NORDWAY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183605",
            "telephone_number": "216-570-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CYNTHIA",
        "middle_name": "GREIDELE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "120687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilhelmina Charles
• Roopa K Chavda, M.D
• Brandon Jamal Chin
• Jodi Lynne Chumita, BA
• Christine Riczo Cifranic, P.A.-C.
• Kyle Warner Clark, D.M.D.
• Shayla Clark, LSW, CDCA
• Myra Hyacinth Clarke, RN
• Clecore Lab & Screenings LLC
• Norman Andrew Clemens, M.D.

• Licensed Practical Nurse in Cleveland Heights, OH
• Providers in Cleveland Heights, 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 Aug 4, 2010; 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.