Active NPI
Tenisha Danielle Maxey
- Licensed Practical Nurse
- Milwaukee, WI
National Provider Identifier
1114255494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 309799-031
- Practice address
- 5296 N. 73Rd St.
Milwaukee, WI 53218 - Phone
- (414) 234-0619
- NPI assigned
- Nov 25, 2009
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 309799-031 | WV | Primary |
Addresses
Primary practice location
5296 N. 73Rd St.
Milwaukee, WI 53218
Mailing address
5296 N 73Rd St
Milwaukee, WI 53218-2821
Phone (414) 234-0619
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 |
|---|---|---|---|
| 309799-031 | WV | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Connections LLC | Current | Accepting new patients | |
| A Peace of Mind Adult Family Homes | 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.
-
- Adult Care Home Facility
- Milwaukee, WI
- NPI 1053074096
-
- Case Management Agency
- Milwaukee, WI
- NPI 1306518832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1114255494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5296 N 73RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532182821",
"telephone_number": "414-234-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5296 N. 73RD ST.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53218",
"telephone_number": "414-234-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "TENISHA",
"middle_name": "DANIELLE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WV",
"license": "309799-031",
"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 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.