Active NPI
Eili Elizabeth Adams
- Nurse's Aide
- Milwaukee, WI
National Provider Identifier
1750958930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- WI031825801206
- Practice address
- 3237 S 16TH St
Milwaukee, WI 53215-4526 - Phone
- (414) 647-3995
- NPI assigned
- Jun 7, 2021
- Last updated
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | WI031825801206 | WI | Primary |
Addresses
Primary practice location
3237 S 16TH St
Milwaukee, WI 53215-4526
Mailing address
406 Shearwater St
Madison, WI 53714-3348
Phone (608) 250-0583
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 |
|---|---|---|---|
| WI031825801206 | WI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1750958930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 SHEARWATER ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537143348",
"telephone_number": "608-250-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-647-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "EILI",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WI",
"license": "WI031825801206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 7, 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.