Individual provider Active NPI

Tequilla Dawson, MHA

  • Case Manager/Care Coordinator
  • Milwaukee, WI
National Provider Identifier
1164224226
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
253Z00000X Issued in WI
Practice address
2025 N Martin Luther King Dr Unit 130
Milwaukee, WI 53212-3152
Phone
(414) 232-6268
NPI assigned
Mar 27, 2025
Last updated
Jan 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 253Z00000X WI Primary

Addresses

Primary practice location

2025 N Martin Luther King Dr Unit 130
Milwaukee, WI 53212-3152

Mailing address

2025 N Martin Luther King Dr Unit 130
Milwaukee, WI 53212-3152
Phone (414) 232-6268

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

LicenseStateTypeSpecialty
253Z00000XWIMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Wired CSR LLC Current Accepting new patients
Zeneasily LLC Case Manager/Care Coordinator Current Accepting new patients

Locations

2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455

2025 N Martin Luther King Dr
Milwaukee, WI 53212
Phone (414) 232-6268

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1164224226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N MARTIN LUTHER KING DR UNIT 130",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123152",
            "telephone_number": "414-232-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N MARTIN LUTHER KING DR UNIT 130",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123152",
            "telephone_number": "414-232-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "TEQUILLA",
        "credential": "MHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "253Z00000X",
            "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 Jan 11, 2026; 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.