Individual provider Active NPI

Tjwana Sue Veasley

  • Licensed Practical Nurse
  • Milwaukee, WI
National Provider Identifier
1295413482
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
309181-31 Issued in WI
Practice address
7512 N Granville Rd Apt 108
Milwaukee, WI 53224-3941
Phone
(414) 539-9612
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309181-31 WI Primary

Addresses

Primary practice location

7512 N Granville Rd Apt 108
Milwaukee, WI 53224-3941

Mailing address

7512 N Granville Rd Apt 108
Milwaukee, WI 53224-3941
Phone (414) 539-9612

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
309181-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1295413482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 N GRANVILLE RD APT 108",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243941",
            "telephone_number": "414-539-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 N GRANVILLE RD APT 108",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243941",
            "telephone_number": "414-539-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEASLEY",
        "first_name": "TJWANA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309181-31",
            "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 Jul 7, 2023; 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.