NPIMap

Organization Active NPI

Advancing Abilities of Wisconsin

  • Early Intervention Provider Agency
  • West Allis, WI
National Provider Identifier
1164807665
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
20-140 Issued in WI
Legal business name
ADVANCING ABILITIES OF WISCONSIN
Practice address
10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379
Phone
(262) 707-3257
Fax
(877) 565-8884
NPI assigned
Jul 25, 2015
Last updated
Jul 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Authorized official

Name
Ms. Rhonda Jean Greenhaw, BCBANPI 1194016477
Title
President and Chief Clinical Office
Phone
(262) 707-3257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 20-140 WI Primary

Addresses

Primary practice location

10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379

Mailing address

10909 W Greenfield Ave
Suite 207
West Allis, WI 53214-2379
Phone (262) 707-3257

National Provider Directory

National Provider Directory
Tax ID family
Advancing Abilities of Wisconsin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437782400000",
    "number": "1164807665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 W GREENFIELD AVE",
            "address_2": "SUITE 207",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142379",
            "telephone_number": "262-707-3257",
            "fax_number": "877-565-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 W GREENFIELD AVE",
            "address_2": "SUITE 207",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142379",
            "telephone_number": "262-707-3257",
            "fax_number": "877-565-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCING ABILITIES OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-25",
        "last_updated": "2015-07-25",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF CLINICAL OFFICE",
        "authorized_official_telephone_number": "262-707-3257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WI",
            "license": "20-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.