Active NPI
Shaimone Barkhadle
- Community Health Worker
- Milwaukee, WI
National Provider Identifier
1154794170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- R0086935
- Practice address
- 310 E Buffalo St
Suite 109
Milwaukee, WI 53202-5808 - Phone
- (414) 914-1343
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | R0086935 | Primary |
Addresses
Primary practice location
310 E Buffalo St
Suite 109
Milwaukee, WI 53202-5808
Mailing address
310 E Buffalo St
Suite 109
Milwaukee, WI 53202-5808
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fidelity Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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 1346613361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1154794170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E BUFFALO ST",
"address_2": "SUITE 109",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E BUFFALO ST",
"address_2": "SUITE 109",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025808",
"telephone_number": "414-914-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKHADLE",
"first_name": "SHAIMONE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": "R0086935",
"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 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.