Tyenna B Otis-Campbell

Primary specialty

HomemakerTaxonomy code 376J00000X

License

RN482771 Issued in OH

Practice address

10116 Dunlap Ave
Cleveland, OH 44105-2345

Phone

(216) 215-3163

NPI assigned

Jun 5, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1265326250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 DUNLAP AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052345",
            "telephone_number": "216-215-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 DUNLAP AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052345",
            "telephone_number": "216-215-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIS-CAMPBELL",
        "first_name": "TYENNA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "RN482771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Biemann Othersen III, M.D.
• Dana Othman
• Mohamed Othman
• Yahya Azhar Othman, M.D.
• Diana Othon Martinez, MD
• Tyhesha Otis, CDCA
• Tia Otoo, LSW
• Zaher K Otrock, M.D., PH.D.
• Brooke McKenzie Ott, MD
• Hanna Ott

• Homemaker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.