SHIRLEY ROCHELLE DICKERSON (NPI# 1053772756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053772756 |
| Entity Type | Individual |
| Full Name | SHIRLEY ROCHELLE DICKERSON |
| Credential | LPN |
| Practice Address |
4400 Euclid Ave Cleveland OH 44103-3734 |
| Mailing Address |
4500 Euclid Ave Cleveland OH 44103-3736 |
| Practice Telephone | 2164327200 |
| Practice Fax Number | 2164327253 |
| Mailing Telephone | 2164327200 |
| Mailing Fax Number | 2164327253 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 154557 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | PN 154557 | 01 |
| Street Address |
4400 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194948893 | James M Lionetti | Pharmacist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2007-04-11 |
| 1609409291 | Brenden Stinson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-21 |
| 1619508256 | Chamekia Rena Edwards | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2020-02-02 |
| 1235771965 | Phyllis Gossett | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1528600251 | Michelle Starling | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-10-15 |
| 1417503020 | Britney Laux | Community/Behavioral Health | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1235785841 | Kierra Mcdade | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-08-11 |
| 1083268718 | Brian Spence | Nurse Practitioner | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-31 |
| 1922650340 | Ladamoneek Broadus | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-16 |
| 1407408909 | Margaret Whitmore | Behavior Technician | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573997 | Diane Goodwin | Licensed Practical Nurse | 16416 Huntmere Ave, Cleveland, OH 44110-1551 | 2020-09-21 |
| 1710593504 | Shareesah Michelle Bland | Licensed Practical Nurse | 5648 Hamlet Ave, Cleveland, OH 44127-1704 | 2020-09-17 |
| 1134733116 | Shanice Lattimore | Licensed Practical Nurse | 9700 Kempton Ave, Cleveland, OH 44108-2947 | 2020-09-07 |
| 1679184741 | Adoring Hearts Homecare Agency LLC | Licensed Practical Nurse | 18302 Harland Ave, Cleveland, OH 44119-2038 | 2020-08-12 |
| 1669082442 | Toniette Brown | Licensed Practical Nurse | 14108 Edgewood Ave # Up, Cleveland, OH 44128-1069 | 2020-08-05 |
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1851909949 | Kimberely T Newton | Licensed Practical Nurse | 1426 E 55th St, Cleveland, OH 44103-1308 | 2020-07-15 |
| 1639797202 | Jervonna Ashford | Licensed Practical Nurse | 881 E 73rd St, Cleveland, OH 44103-1787 | 2020-07-10 |
| 1962024604 | Jasmine Monique Pace | Licensed Practical Nurse | 5151 Ruble Ct, Cleveland, OH 44104-1316 | 2020-05-16 |
| 1629690599 | Nahtia D Stribling | Licensed Practical Nurse | 1904 E 71st St, Cleveland, OH 44103-4008 | 2020-05-13 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.