Wisconsin Healthcare Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WISCONSIN HEALTHCARE SERVICES

Practice address

2462 West Lisbon Avenue
Milwaukee, WI 53205

Phone

(414) 433-7670

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kemba Banyard, APNP DNP

Title

Administrator

Phone

(414) 433-7670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1265980767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 WEST LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 WEST LISBON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205",
            "telephone_number": "414-433-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BANYARD",
        "authorized_official_first_name": "KEMBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-433-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APNP DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Geriatric Psychological Services SC
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• Wisconsin Hearing Aid Centers
• Wisconsin Independent Living Services LLC
• Wisconsin Laser and Surgery Center LLC
• Wisconsin Lutheran Child & Family Service (Christian Family Counseling)

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.