Active NPI
Laresa Alexis Shanae Owens, CNA, CBRF
- Nurse's Aide
- Milwaukee, WI
National Provider Identifier
1104548536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- WI031910101915
- Practice address
- 3422 N 2ND St
Milwaukee, WI 53212-1557 - Phone
- (414) 737-1042
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 00197312 | WI | |
| Nurse's Aide | 376K00000X | WI031910101915 | WI | Primary |
Addresses
Primary practice location
3422 N 2ND St
Milwaukee, WI 53212-1557
Mailing address
6629 W Charles CT
Franklin, WI 53132-9268
Phone (414) 737-1042
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 |
|---|---|---|---|
| 00197312 | WI | MD | Home Health Aide |
| WI031910101915 | WI | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Through Compassion LLC | Current | Accepting new patients | |
| Caring Through Compassion LLC | Nurse'S Aide | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Milwaukee, WI
- NPI 1497615173
-
- Nurse's Aide
- Milwaukee, WI
- NPI 1982326351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1104548536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6629 W CHARLES CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329268",
"telephone_number": "414-737-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 N 2ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121557",
"telephone_number": "414-737-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "LARESA",
"middle_name": "ALEXIS SHANAE",
"credential": "CNA, CBRF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WI",
"license": "00197312",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WI",
"license": "WI031910101915",
"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 Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.