Provider Demographics
NPI:1891478137
Name:SPIKES, NAKEESHA LYNAE
Entity Type:Individual
Prefix:
First Name:NAKEESHA
Middle Name:LYNAE
Last Name:SPIKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 CARE DR
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2036
Mailing Address - Country:US
Mailing Address - Phone:216-242-8245
Mailing Address - Fax:
Practice Address - Street 1:8503 CARE DR
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2036
Practice Address - Country:US
Practice Address - Phone:216-242-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty