MEDICARE: KEEAISHA SHECKLES

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	187790	OH

General Provider Information

NPI Number	:	1922898790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEEAISHA SHECKLES

Provider Business Mailing Address
First Line	:	2023 2ND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 2ND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1803
Country	:	US
Telephone Number	:	513-667-0939
Fax Number	:

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

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

Similar Medicare Providers

1659533131 — MRS. SHARVA AMENA EL-AMIN
Practice Location Address:

2047 2ND AVE
CINCINNATI, OH
45224-1803

Practice Phone: 513-542-1182
Practice Fax:

1114189602 — CARING WITH COMPASSION
Practice Location Address:

2047 2ND AVE
CINCINNATI, OH
45224-1803

Practice Phone: 513-542-1182
Practice Fax:

1619426202 — VICTORIA BURT
Practice Location Address:

2037 2ND AVE
CINCINNATI, OH
45224-1803

Practice Phone: 513-600-7891
Practice Fax:

1760903108 — RACHEL LEAH YOUNG
Practice Location Address:

1803 GOODMAN AVE REAR 1
CINCINNATI, OH
45239-4817

Practice Phone: 513-462-9314
Practice Fax:

1922874577 — MADELINE GRIEFF
Practice Location Address:

4070 PAXTON AVE
CINCINNATI, OH
45209-1803

Practice Phone: 513-649-4814
Practice Fax:

1821880899 — LISA MARIE JOHNSON
Practice Location Address:

2041 EARLWOOD CT
CINCINNATI, OH
45238-1803

Practice Phone: 513-264-3870
Practice Fax:

Directions to “ KEEAISHA SHECKLES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.