Active NPI
Shelly Jean Van Note, PHARM D
- Pharmacist
- Madison, WI
National Provider Identifier
1457406654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12193040
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043115 | Other | MO | MISSOURI PHARMACY BOARD |
| 17800 | Other | IA | IOWA PHARMACY BOARD |
| 12193040 | Other | WI | WI 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.