Individual provider Active NPI

Cashauna Cleckner

  • Prosthetics Case Management
  • Riverview, FL
National Provider Identifier
1306554654
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CL1223249 Issued in NU
Practice address
12950 US 301 S Ste 119
Riverview, FL 33578-7459
Phone
(727) 403-9941
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CL1223249 NU Primary

Addresses

Primary practice location

12950 US 301 S Ste 119
Riverview, FL 33578-7459

Mailing address

10963 Carlton Fields Dr
Riverview, FL 33579-3215
Phone (727) 403-9941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bu Beauty Hair Studio CurrentSince Nov 13, 2022 Accepting new patients

Locations

12950 US 301 S
Ste 119
Riverview, FL 33578
Phone (727) 403-9941

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1306554654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10963 CARLTON FIELDS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793215",
            "telephone_number": "727-403-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 US 301 S STE 119",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787459",
            "telephone_number": "727-403-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLECKNER",
        "first_name": "CASHAUNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": "CL1223249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.