Active NPI
Shakeya Williamson
- Adult Companion
- Milwaukee, WI
National Provider Identifier
1316516388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 0017716
- Practice address
- 2220 W McKinley Ave
Milwaukee, WI 53205-2432 - Phone
- (414) 779-6344
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 0017716 | WI | Primary |
Addresses
Primary practice location
2220 W McKinley Ave
Milwaukee, WI 53205-2432
Mailing address
7738 N Pointe St
Milwaukee, WI 53224-3300
Phone (414) 779-6344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0017716 | WI | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1316516388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7738 N POINTE ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243300",
"telephone_number": "414-779-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 W MCKINLEY AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532052432",
"telephone_number": "414-779-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "SHAKEYA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "WI",
"license": "0017716",
"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 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.