Provider Demographics
NPI:1497570899
Name:SMITH, CHAMMEEKA (CNA,STNA,CPR,BLS)
Entity type:Individual
Prefix:MS
First Name:CHAMMEEKA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:CNA,STNA,CPR,BLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7621 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-4885
Mailing Address - Country:US
Mailing Address - Phone:216-333-8727
Mailing Address - Fax:
Practice Address - Street 1:7621 EUCLID AVE APT 202
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4858
Practice Address - Country:US
Practice Address - Phone:216-333-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH601702270924364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty