Active NPI
Nursegenics LLC
- Health Service Clinic/Center
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NURSEGENICS LLC
- Practice address
- 2363 S 102ND St Ste 202
West Allis, WI 53227-2143 - Phone
- (262) 417-1195
- NPI assigned
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Audryunna Tahqwela Tate, LPN
- Title
- Owner
- Phone
- (414) 982-8738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Phlebotomy Technician | 246RP1900X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
2363 S 102ND St Ste 202
West Allis, WI 53227-2143
Mailing address
2363 S 102ND St Ste 202
West Allis, WI 53227-2143
Phone (262) 417-1195
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2307295 | Nursegenics LLC | Certificate of waiver | Jul 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
2363 S 102nd St
Ste 202
West Allis, WI 53227
Phone (262) 417-1195
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- West Allis, WI
- NPI 1265289789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1205683737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 S 102ND ST STE 202",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272143",
"telephone_number": "262-417-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 S 102ND ST STE 202",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272143",
"telephone_number": "262-417-1195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSEGENICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "AUDRYUNNA",
"authorized_official_middle_name": "TAHQWELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-982-8738",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"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 May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.