NPIMap

Organization Active NPI

Shifting Healthcare, LLC

  • Health Service Clinic/Center
  • De Pere, WI
National Provider Identifier
1639721871
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHIFTING HEALTHCARE, LLC
Practice address
1702 Scheuring Rd
De Pere, WI 54115-9567
Phone
(920) 621-9525
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Mrs. Jennifer Lynn Deneys, PTNPI 1679794184
Title
Sole Owner
Phone
(920) 621-9525

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1702 Scheuring Rd
De Pere, WI 54115-9567

Mailing address

1702 Scheuring Rd
De Pere, WI 54115-9567
Phone (920) 621-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801000659 WI Part B Supplier - Clinic/Group Practice 7719213511 Receives reassigned benefits from 3 practitioners
Practice locations: De Pere, WI

National Provider Directory

National Provider Directory

Locations

1702 Scheuring Rd
De Pere, WI 54115
Phone (920) 621-9525

1702 Scheuring Rd
Ste C
De Pere, WI 54115
Phone (920) 227-1331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1639721871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SCHEURING RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159567",
            "telephone_number": "920-621-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SCHEURING RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159567",
            "telephone_number": "920-621-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTING HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "DENEYS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "920-621-9525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.