Active NPI
Chanise Adams
- Assisted Living Facility
- West Bend, WI
National Provider Identifier
1437965696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 2330 Chestnut St Apt 1
West Bend, WI 53095-2986 - Phone
- (414) 299-9774
- NPI assigned
- Dec 3, 2024
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary | |
| Licensed Practical Nurse | 164W00000X | 327156-31 | WI |
Addresses
Primary practice location
2330 Chestnut St Apt 1
West Bend, WI 53095-2986
Mailing address
2330 Chestnut St Apt 1
West Bend, WI 53095-2986
Phone (414) 299-9774
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 |
|---|---|---|---|
| 327156-31 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1437965696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 CHESTNUT ST APT 1",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530952986",
"telephone_number": "414-299-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 CHESTNUT ST APT 1",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530952986",
"telephone_number": "414-299-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CHANISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "327156-31",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.