Shane Scott Urban

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127558-121 Issued in WI

Practice address

444 N. Westhill Blvd.
Appleton, WI 54914

Phone

(920) 750-7008

NPI assigned

Mar 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shane Scott Urban Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1609269489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 15TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026516",
            "telephone_number": "920-573-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N. WESTHILL BLVD.",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-750-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "SHANE",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "127558-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANE",
            "last_name": "URBAN",
            "middle_name": "SCOTT",
            "credential": "APSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• University of Wisconsin Medical Foundation
• University RX LLC
• Annemarie Uphus, APNP, PMHNP-BC, CNM
• Uplifting Transport Service
• Anthony David Urban, DPT
• Lisa Genell Urbaniak, WHNP, RN
• Urgent Care Physcians, LTD
• US 2 Behavioral Health Care Inc
• Ifreah Ali Usmaiel
• Ashley M Utech, APRN

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.