Healthcare Provider Details

I. General information

NPI: 1316852072
Provider Name (Legal Business Name): SADE SOMMONE WILLIAMS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26401 EMERY RD STE 108
WARRENSVILLE HEIGHTS OH
44128-6210
US

IV. Provider business mailing address

222 MAGNOLIA AVE
NORTHFIELD OH
44067-1337
US

V. Phone/Fax

Practice location:
  • Phone: 216-373-1670
  • Fax:
Mailing address:
  • Phone: 216-659-4894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0042801
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: