Organization Active NPI

Tiger Lily Collective LLC

  • Other Specialist/Technologist
  • West Allis, WI
National Provider Identifier
1497580948
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
TIGER LILY COLLECTIVE LLC
Practice address
10631 W Lincoln Ave # 105
West Allis, WI 53227-1240
Phone
(414) 246-7101
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Zoe BraunNPI 1215791611
Title
Owner
Phone
(414) 246-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

10631 W Lincoln Ave # 105
West Allis, WI 53227-1240

Mailing address

1575 S Moorland Rd Apt 208
New Berlin, WI 53151-1566
Phone (414) 246-7101

National Provider Directory

National Provider Directory

Locations

10631 W Lincoln Ave
#105
West Allis, WI 53227
Phone (414) 246-7101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1497580948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S MOORLAND RD APT 208",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511566",
            "telephone_number": "414-246-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 W LINCOLN AVE # 105",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271240",
            "telephone_number": "414-246-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER LILY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-246-7101"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.