Individual provider Active NPI

Shelbey M Puppe, CAPSW

  • Social Worker
  • Monroe, WI
National Provider Identifier
1417541129
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
132000-121 Issued in WI
Practice address
N3152 State Road 81
Monroe, WI 53566-8821
Phone
(608) 328-9393
Fax
(608) 328-9480
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132000-121 WI Primary

Addresses

Primary practice location

N3152 State Road 81
Monroe, WI 53566-8821

Mailing address

N3152 State Road 81
Monroe, WI 53566-8821
Phone (608) 328-9393

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
132000-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Green CurrentSince Mar 4, 2021 Accepting new patients

Locations

N3152 State Road 81
Monroe, WI 53566
Phone (608) 328-9352

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1417541129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9393",
            "fax_number": "608-328-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9393",
            "fax_number": "608-328-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPPE",
        "first_name": "SHELBEY",
        "middle_name": "M",
        "credential": "CAPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132000-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

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

Verify at the official NPI Registry.