Active NPI
Shawana M Williams
- Vehicle Modifications Contractor
- Milwaukee, WI
National Provider Identifier
1013264886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- License
- W4527937874605
- Practice address
- 10213 W Fondulac Ave 237
Milwaukee, WI 53224-5183 - Phone
- (414) 551-6872
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | W4527937874605 | WI | Primary |
Addresses
Primary practice location
10213 W Fondulac Ave 237
Milwaukee, WI 53224-5183
Mailing address
10213 W Fondulac Ave
237
Milwaukee, WI 53224-5183
Phone (414) 551-6872
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W4527937874605 | WI | MD | Vehicle Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1013264886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10213 W FONDULAC AVE",
"address_2": "237",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532245183",
"telephone_number": "414-551-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10213 W FONDULAC AVE 237",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532245183",
"telephone_number": "414-551-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHAWANA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "WI",
"license": "W4527937874605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.