Tyiesha Nicole Cleckley

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

316 Winward Ave
Orangeburg, SC 29115-6471

Phone

(803) 515-4658

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1487227484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WINWARD AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156471",
            "telephone_number": "803-515-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WINWARD AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156471",
            "telephone_number": "803-515-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLECKLEY",
        "first_name": "TYIESHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dino W. Christopher, CRNA
• Emily Clamp, PHARMD
• Holly Dunn Clardy, APRN
• Clark Family Dentistry
• Sandra Clark
• Clemson Sports Medicine and Rehabilitation
• Clemson Sports Medicine and Rehabilitation
• Clifford P Sanders
• Tyron L Clinton, MASTERS PROFESSIONAL
• Jennifer D Coaxum, MA

• Personal Care Attendant in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Personal Care Attendant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.