Vinnetta Ashirah Paul

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

246284-30 Issued in WI

Practice address

11414 W Park PL
Suite 202 - #3562
Milwaukee, WI 53224

Phone

(414) 526-7316

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prime Express Laboratory LLC

  • Health Service Clinic/Center
  • Milwaukee, WI
  • NPI 1952057747
  NPD Authorized official
• Quality of Life Family Services, LLC

  • Personal Care Attendant
  • Milwaukee, WI
  • NPI 1811626393
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1740957323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 W TOWNSEND ST STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223965",
            "telephone_number": "414-376-7200",
            "fax_number": "414-935-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL",
            "address_2": "SUITE 202 - #3562",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "414-526-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "VINNETTA",
        "middle_name": "ASHIRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "246284-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Marie Patzlsberger
• Hari Raj Paudel, MD
• Paul D Smith D.D.S., S.C. Dba Jackson Park Family Dental
• Michael Paul, PA
• Sylvia M. Paul, LPN
• Vivek Paul, MBBS
• Paula Osterhout MD, LLC
• Sydney N Pauling
• Lisa D Paull, OCCUPATIONAL THERAPI
• Kyle S Paulsen

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.