Individual provider Active NPI

Lashawn Danielle Walsh-Phillips, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1497033906
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
177796-30 Issued in WI
Practice address
5023 N 23Rd St
Milwaukee, WI 53209-5606
Phone
(414) 507-8612
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177796-30 WI Primary

Addresses

Primary practice location

5023 N 23Rd St
Milwaukee, WI 53209-5606

Mailing address

5023 N 23Rd St
Milwaukee, WI 53209-5606
Phone (414) 507-8612

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
177796-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1497033906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 N 23RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095606",
            "telephone_number": "414-507-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 N 23RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095606",
            "telephone_number": "414-507-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH-PHILLIPS",
        "first_name": "LASHAWN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177796-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2011; 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.