Individual provider Active NPI

Olethea M Perkins-Weathersby, CBRF CERTIFIED

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1649869553
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0018034 Issued in WI
Practice address
10429 W Sheridan Ave
Milwaukee, WI 53225-3241
Phone
(414) 841-5613
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0018034 WI Primary

Addresses

Primary practice location

10429 W Sheridan Ave
Milwaukee, WI 53225-3241

Mailing address

10429 W Sheridan Ave
Milwaukee, WI 53225-3241
Phone (414) 841-5613

Other identifiers 1

IdentifierTypeStateIssuer
20196425MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address perkinsolethia@icloud.com Direct

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

State licenses

LicenseStateTypeSpecialty
0018034WIMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1649869553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 W SHERIDAN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253241",
            "telephone_number": "414-841-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 W SHERIDAN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253241",
            "telephone_number": "414-841-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS-WEATHERSBY",
        "first_name": "OLETHEA",
        "middle_name": "M",
        "credential": "CBRF CERTIFIED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "0018034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20196425",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "perkinsolethia@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3718 N 2nd Ln",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532121516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 14, 2021; 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.