Active NPI
Shanika J Wilder
- Home Health Aide
- Milwaukee, WI
National Provider Identifier
1467091363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0017839
- Practice address
- 2817 N 17TH St
Milwaukee, WI 53206-2132 - Phone
- (414) 306-3793
- NPI assigned
- Dec 26, 2019
- Last updated
- Mar 24, 2026
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | WI | ||
| Chore Provider | 372500000X | WI | ||
| Case Manager/Care Coordinator | 171M00000X | WI | ||
| Adult Care Home Facility | 311ZA0620X | WI | ||
| Home Health Aide | 374U00000X | WI | ||
| In Home Supportive Care Agency | 253Z00000X | WI | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | WI | ||
| Home Health Aide | 374U00000X | 0017839 | WI | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | WI |
Addresses
Primary practice location
2817 N 17TH St
Milwaukee, WI 53206-2132
Mailing address
2817 N 17TH St
Milwaukee, WI 53206-2132
Phone (414) 306-3793
Other practice location 1
3284 N 15th St
Milwaukee, WI 53206-2245
Phone (414) 306-3793
Other practice location 2
4607 N 79th St
Milwaukee, WI 53218-4648
Phone (414) 306-3793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815272179 | Medicaid | WI |
Other names 1
- Jennifer Williams
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 |
|---|---|---|---|
| 0017839 | WI | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B2B Brighter Dayz Inc | Case Manager/Care Coordinator | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brighter Dayz
- Homemaker
- Milwaukee, WI
- NPI 1780522185
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1467091363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532062132",
"telephone_number": "414-306-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532062132",
"telephone_number": "414-306-3793"
}
],
"practiceLocations": [
{
"address_1": "3284 N 15th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532062245",
"country_code": "US",
"telephone_number": "414-306-3793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4607 N 79th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532184648",
"country_code": "US",
"telephone_number": "414-306-3793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDER",
"first_name": "SHANIKA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WI",
"license": "0017839",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815272179",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WILLIAMS",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.