Malaysia Shanae Allen, OWNER/OPERATOR

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1916 Western Ave
Manitowoc, WI 54220-3838

Phone

(920) 717-0448

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Peace of Serenity Home Health

  • Home Health Aide
  • Manitowoc, WI
  • NPI 1265190391
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1881291417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203838",
            "telephone_number": "920-717-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203838",
            "telephone_number": "920-717-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MALAYSIA",
        "middle_name": "SHANAE",
        "credential": "OWNER/OPERATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malaysia.allen@outlook.com",
            "affiliation": "N",
            "endpointDescription": "This email is used only for client communication purposes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1916 Western Ave",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542203838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Alberts
• Olivia C. Alexander, MA, LPC
• Sara Ann Alfson, COTA
• Align Chiropractic & Wellness LLC
• Jeffrey S Allen, MD
• Allison-Zak LLC
• Douglas P Allison, D.D.S.
• William Alvarez, M.D.
• Steven M Amato, D.D.S., M.S., S.C.
• Jeremy Robert Anclam, D.O.

• Personal Care Attendant in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Personal Care Attendant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.