Healthcare Provider Details

I. General information

NPI: 1437072303
Provider Name (Legal Business Name): KATHERINE NI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 WARRENSVILLE CENTER RD STE 106
SHAKER HEIGHTS OH
44122-5226
US

IV. Provider business mailing address

11310 ITASCA AVE APT 103
CLEVELAND OH
44106-1353
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-1582
  • Fax:
Mailing address:
  • Phone: 347-781-7832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: