Audryunna Tahqwela Tate, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327177-31 Issued in WI

Practice address

2363 S 102ND St Ste 202
West Allis, WI 53227-2143

Phone

(414) 982-8738

NPI assigned

May 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nursegenics LLC

  • Health Service Clinic/Center
  • West Allis, WI
  • NPI 1205683737

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1265289789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 S 96TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271423",
            "telephone_number": "414-982-8738"
        },
        {
            "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": "414-982-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "AUDRYUNNA",
        "middle_name": "TAHQWELA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "327177-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Olabode Taiwo, MD
• Reina Takamura
• Tatek Ketema Takele, M.D
• Tall Oaks of West Allis
• Jonathan Tallar
• Chelsea M Tauer, RDN, CD
• Lakendra Javonne Taylor-Tucker
• Whitney Taylor
• Brian R Teclaw, D.D.S.
• Temenos Counseling Services

• Licensed Practical Nurse in West Allis, WI
• Providers in West Allis, WI by specialty
• Licensed Practical Nurse in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.