Individual provider Active NPI

Shelly Jean Van Note, PHARM D

  • Pharmacist
  • Madison, WI
National Provider Identifier
1457406654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12193040 Issued in WI
Practice address
600 Highland Ave
University of Wisconsin Hospital & Clinics F61 331 530
Madison, WI 53792
Phone
(608) 263-1290
Fax
(608) 263-9424
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12193040 WI Primary

Addresses

Primary practice location

600 Highland Ave
University of Wisconsin Hospital & Clinics F61 331 530
Madison, WI 53792

Mailing address

18 Arial Circle
Madison, WI 53719
Phone (608) 263-8475

Other identifiers 3

IdentifierTypeStateIssuer
043115OtherMOMISSOURI PHARMACY BOARD
17800OtherIAIOWA PHARMACY BOARD
12193040OtherWIWI BOARD OF PHARMACY

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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457406654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ARIAL CIRCLE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-263-8475",
            "fax_number": "608-263-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "UNIVERSITY OF WISCONSIN HOSPITAL & CLINICS F61 331 530",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-1290",
            "fax_number": "608-263-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NOTE",
        "first_name": "SHELLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12193040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI PHARMACY BOARD",
            "identifier": "043115",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PHARMACY BOARD",
            "identifier": "17800",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI BOARD OF PHARMACY",
            "identifier": "12193040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.