Antonise Clesidor

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

10560 West State Road 84
Coconut Creek, FL 33063

Phone

(954) 634-3636

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1073905303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 WEST STATE ROAD 84",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 WEST STATE ROAD 84",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-634-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLESIDOR",
        "first_name": "ANTONISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014044000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cici's Consulting LLC
• Ernesto Cirilo
• America Cisneros
• City of Coconut Creek (Coconut Creek Fire Rescue)
• Chantal Clerger, RT
• Coastal Med LLC
• Claudia Coba, MPT
• Cobblestone Care Solutions LLC
• Coconut Creek Adult Day Care LLC
• Coconut Creek Alf Inc

• Personal Care Attendant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.