Organization Active NPI

Elite Medical Supply LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenfield, WI
National Provider Identifier
1699688408
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELITE MEDICAL SUPPLY LLC
Practice address
2745 W Layton Ave Ste 101
Greenfield, WI 53221-2651
Phone
(346) 359-9836
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Sadia Shoiab
Title
Owner
Phone
(346) 359-9836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2745 W Layton Ave Ste 101
Greenfield, WI 53221-2651

Mailing address

2745 W Layton Ave Ste 101
Greenfield, WI 53221-2651

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1699688408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W LAYTON AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 W LAYTON AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212651",
            "telephone_number": "346-359-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SHOIAB",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-359-9836"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.