Individual provider Active NPI

Tasheika Thiree Adams

  • Driver
  • Milwaukee, WI
National Provider Identifier
1316439151
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
A3528288074707 Issued in WI
Practice address
6467 N 52ND St
Milwaukee, WI 53223-6011
Phone
(414) 899-7486
Fax
(414) 797-4487
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X A3528288074707 WI Primary

Addresses

Primary practice location

6467 N 52ND St
Milwaukee, WI 53223-6011

Mailing address

6467 N 52ND St
Milwaukee, WI 53223-6011
Phone (414) 899-7486

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
A3528288074707WIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1316439151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6467 N 52ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236011",
            "telephone_number": "414-899-7486",
            "fax_number": "414-797-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6467 N 52ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236011",
            "telephone_number": "414-899-7486",
            "fax_number": "414-797-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TASHEIKA",
        "middle_name": "THIREE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "A3528288074707",
            "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 Jun 6, 2018; 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.