Community Konnections LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY KONNECTIONS LLC

Practice address

9730 W Bluemound Rd Ste 5
Wauwatosa, WI 53226-4463

Phone

(414) 559-0182

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Wanda Faye Pruitt

Title

Office Manager

Phone

(414) 559-0182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1093420648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 5",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264463",
            "telephone_number": "414-559-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 5",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264463",
            "telephone_number": "414-559-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY KONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-559-0182",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.