Healthcare Provider Details

I. General information

NPI: 1487482139
Provider Name (Legal Business Name): KATHERINE SHEFFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14422 SUPERIOR RD
CLEVELAND OH
44118-2039
US

IV. Provider business mailing address

14422 SUPERIOR RD
CLEVELAND OH
44118-2039
US

V. Phone/Fax

Practice location:
  • Phone: 216-612-7388
  • Fax:
Mailing address:
  • Phone: 216-612-7388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: