Active NPI
Nancy Allen Shook, RN, LCSW, APNP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Madison, WI
National Provider Identifier
1679690895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 2366033
- Practice address
- 122 E Olin Ave
Suite 100
Madison, WI 53713-1487 - Phone
- (608) 265-9438
- Fax
- (608) 263-4681
- NPI assigned
- Mar 23, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7167123 | WI | |
| Registered Nurse | 163W00000X | 48973030 | WI | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 2366033 | WI | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 2366033 | WI | Primary |
Addresses
Primary practice location
122 E Olin Ave
Suite 100
Madison, WI 53713-1487
Mailing address
122 E Olin Ave Ste 100
Madison, WI 53713-1468
Phone (608) 265-9438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41188400 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7167123 | WI | MD | Clinical Social Worker |
| 48973030 | WI | MD | Registered Nurse |
| 2366033 | WI | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Responsive Solutions, Inc. | Past | Accepting new patients | |
| University of Wisconsin System Non Payroll | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmentally Disabled Services Day Training Agency
- Madison, WI
- NPI 1942456116
-
- Adult Mental Health Clinic/Center
- Madison, WI
- NPI 1184746828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1679690895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E OLIN AVE STE 100",
"city": "MADISON",
"state": "WI",
"postal_code": "537131468",
"telephone_number": "608-265-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E OLIN AVE",
"address_2": "SUITE 100",
"city": "MADISON",
"state": "WI",
"postal_code": "537131487",
"telephone_number": "608-265-9438",
"fax_number": "608-263-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "NANCY",
"middle_name": "ALLEN",
"name_prefix": "Ms.",
"credential": "RN, LCSW, APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7167123",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "48973030",
"primary": false
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "WI",
"license": "2366033",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "WI",
"license": "2366033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41188400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.