MEDICARE: CHERI C LITTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN.108120.MEDS	OH

General Provider Information

NPI Number	:	1235082389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERI C LITTLE

Provider Business Mailing Address
First Line	:	4957 THOMAS RD
Second Line	:
City	:	TRENTON
State	:	OH
Zip	:	45067-9720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 W KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1617
Country	:	US
Telephone Number	:	513-766-5351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ CHERI C LITTLE ” Practice Location

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