Individual provider Active NPI

Danyale Lenora Wilder, LPN

  • Licensed Practical Nurse
  • Milwaukee, WI
National Provider Identifier
1841484201
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
305041-031 Issued in WI
Practice address
1210 N 10TH St Apt 534
Milwaukee, WI 53205-2589
Phone
(414) 333-6244
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 305041-031 WI Primary

Addresses

Primary practice location

1210 N 10TH St Apt 534
Milwaukee, WI 53205-2589

Mailing address

1210 N 10TH St Apt 534
Milwaukee, WI 53205-2589
Phone (414) 333-6244

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

LicenseStateTypeSpecialty
305041-031WIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bump & Beyond LLC Current Accepting new patients
Peaceful Care Personal/Supportive Care Services CurrentSince Sep 5, 2021 Accepting new patients
Peaceful Care Living LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1841484201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N 10TH ST APT 534",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532052589",
            "telephone_number": "414-333-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 10TH ST APT 534",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532052589",
            "telephone_number": "414-333-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "DANYALE",
        "middle_name": "LENORA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "305041-031",
            "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 Aug 30, 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.

Verify at the official NPI Registry.