Tyshaunna Niccoya Alcorn, STATE TESTED NURSING

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401553030713 Issued in OH

Practice address

555 E 102ND St
Cleveland, OH 44108-1370

Phone

(216) 482-5723

NPI assigned

Aug 12, 2020

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

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1588275697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 102ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081370",
            "telephone_number": "216-482-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 102ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081370",
            "telephone_number": "216-482-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "TYSHAUNNA",
        "middle_name": "NICCOYA",
        "credential": "STATE TESTED NURSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401553030713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasem Alburaih, B.D.S.
• Sheronda Catina Alburg
• Christian Alch, MD
• Noah Alcodray
• Kathleen Alcorn, MSSA
• Alcove Ventures LLC
• Juan Xavier Alda, M.D.
• Hamad Aldahham
• Ibrahim Khalid I Aldakhil
• Benigno R Aldana III, M.D.

• Nurse's Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.