Active NPI
L'Shay Nikkol Manuel
- Specialist
- Milwaukee, WI
National Provider Identifier
1093588873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1834 W Wisconsin Ave Ste 200
Milwaukee, WI 53233-2105 - Phone
- (414) 935-2004
- NPI assigned
- Nov 2, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1834 W Wisconsin Ave Ste 200
Milwaukee, WI 53233-2105
Mailing address
1834 W Wisconsin Ave Ste 200
Milwaukee, WI 53233-2105
Phone (414) 935-2004
Other practice location 1
2210 S 108th St
West Allis, WI 53227-1108
Phone (414) 935-2806
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1093588873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 W WISCONSIN AVE STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332105",
"telephone_number": "414-935-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 W WISCONSIN AVE STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332105",
"telephone_number": "414-935-2004"
}
],
"practiceLocations": [
{
"address_1": "2210 S 108th St",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532271108",
"country_code": "US",
"telephone_number": "414-935-2806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "L'SHAY NIKKOL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"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 Nov 2, 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.