Shauna O'Keefe

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

517 Court St
Neillsville, WI 54456-1971

Phone

(715) 743-3400

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clark County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Neillsville, WI
  • NPI 1598986564
  NPD (past)

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1104592815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2427 OPELT AVE",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544566913",
            "telephone_number": "715-321-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COURT ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561971",
            "telephone_number": "715-743-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "SHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "13340",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Municipal Ambulance Service
• Neillsville School District
• Kaye Lynn Nowobielski, RDH
• Olivia Nnenna Nwaedozie, MD
• Danielle Margaret O'Brien, COTA
• Paustian Medical & Surgical Center, S. C.
• Jordyn Dean Pieper, PA-C
• Alma Pierce
• Kathryn Pittz, MOT/R
• Quad/Med, LLC

• Student in an Organized Health Care Education/Training Program in Neillsville, WI
• Providers in Neillsville, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.