Active NPI
Charlette Johnson
- Prosthetics Case Management
- Wauwatosa, WI
National Provider Identifier
1649068776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 11607 W Bluemound Rd Ste 101
Wauwatosa, WI 53226-3960 - Phone
- (414) 775-6257
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
11607 W Bluemound Rd Ste 101
Wauwatosa, WI 53226-3960
Mailing address
6650 W State St # 230
Milwaukee, WI 53213-2827
Phone (414) 467-8212
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricho Medical LLC | Prosthetics Case Management | Current | Accepting new patients |
Locations
6650 W State St
#230
Milwaukee, WI 53213
11607 W Bluemound Rd
Ste 101
Wauwatosa, WI 53226
Phone (414) 775-6257
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 and National Provider Directory roles.
-
- Prosthetics Case Management
- Wauwatosa, WI
- NPI 1902694037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1649068776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W STATE ST # 230",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532132827",
"telephone_number": "414-467-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11607 W BLUEMOUND RD STE 101",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263960",
"telephone_number": "414-775-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHARLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.