Active NPI
Daquasia East
- Community/Behavioral Health Agency
- Racine, WI
National Provider Identifier
1720915309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0020942
- Practice address
- 2004 Durand Ave
Racine, WI 53403-3278 - Phone
- (262) 467-8881
- NPI assigned
- May 6, 2026
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0020942 | WI | Primary |
Addresses
Primary practice location
2004 Durand Ave
Racine, WI 53403-3278
Mailing address
2004 Durand Ave
Racine, WI 53403-3278
Phone (262) 467-8881
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0020942 | WI | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1720915309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 DURAND AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534033278",
"telephone_number": "262-467-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 DURAND AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534033278",
"telephone_number": "262-467-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAST",
"first_name": "DAQUASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "0020942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.