Shawntasia Wilkie

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

460 Belmont St
Brockton, MA 02301-4921

Phone

(774) 297-9509

NPI assigned

Jun 27, 2023

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

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1093491649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PARKER ST APT 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022329",
            "telephone_number": "508-562-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014921",
            "telephone_number": "774-297-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "SHAWNTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Wilbur, HIS
• Sheree Lynn Wilder, L.C.S.W.
• Sherry Wilder
• Lorraine Wiley
• Alphonse Wilfred, M.D.
• Will Walk in
• Helen Fitzgerald Will, N.P.
• William M. Stenson, M.D., P.C.
• Laurie Williams-Pipkins
• Aretta Williams, MS

• Case Manager/Care Coordinator in Brockton, MA
• Providers in Brockton, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.