Shenisha Davis

Individual provider Active NPI Driver · Brown Deer, WI

NPI 1073220760 · NPPES record last updated Nov 1, 2022

Key facts

NPI
1073220760
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
6051 W Brown Deer Rd Ste 203
Brown Deer, WI 53223-2263
Phone
(414) 928-1300
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
My House Is Your Home LLC Current Accepting new patients
Yo Transportation, LLC Current
since Nov 6, 2022
Accepting new patients
Close to Home Personal Care, LLC Current
since Nov 6, 2022
Accepting new patients

Locations

6051 W Brown Deer Rd
Ste 203
Brown Deer, WI 53223
Phone (414) 306-3263

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

6051 W Brown Deer Rd Ste 203
Brown Deer, WI 53223-2263

Mailing address

6051 W Brown Deer Rd Ste 203
Brown Deer, WI 53223-2263
Phone (414) 928-1300

Other providers in Brown Deer, WI

All providers in Brown Deer, WI · Driver in Wisconsin

Sources for this page

Verify at the official NPI Registry.