Provider Demographics
NPI:1740427376
Name:CUNNINGHAM, TEKISHA (LPN)
Entity type:Individual
Prefix:
First Name:TEKISHA
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 NOBLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1739
Mailing Address - Country:US
Mailing Address - Phone:216-505-4390
Mailing Address - Fax:
Practice Address - Street 1:2187 NOBLE RD STE 101
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44112-1739
Practice Address - Country:US
Practice Address - Phone:216-505-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125656-IV175T00000X, 164W00000X
OHPN-12656-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical Nurse