Active NPI
Shemicuka Price
- Nurse's Aide
- Madison, WI
National Provider Identifier
1801285713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 291723
- Practice address
- 2501 Portage Rd
Madison, WI 53704-2827 - Phone
- (608) 228-9416
- NPI assigned
- Jan 15, 2015
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 291723 | WI | Primary |
Addresses
Primary practice location
2501 Portage Rd
Madison, WI 53704-2827
Mailing address
2501 Portage Rd
Madison, WI 53704-2827
Phone (608) 228-9416
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 |
|---|---|---|---|
| 291723 | WI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1801285713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 PORTAGE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537042827",
"telephone_number": "608-228-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 PORTAGE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537042827",
"telephone_number": "608-228-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SHEMICUKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WI",
"license": "291723",
"primary": true
}
],
"identifiers": [],
"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 Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.