Active NPI
Stephanie Alisha Jewell Dalton
- Assisted Living Facility
- Milwaukee, WI
National Provider Identifier
1902780810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 0019815
- Practice address
- 4730 N 80TH St
Milwaukee, WI 53218-4618 - Phone
- (414) 841-1120
- NPI assigned
- Aug 4, 2025
- 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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 0019815 | WI | Primary |
Addresses
Primary practice location
4730 N 80TH St
Milwaukee, WI 53218-4618
Mailing address
4730 N 80TH St
Milwaukee, WI 53218-4618
Phone (414) 841-1120
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 |
|---|---|---|---|
| 0019815 | WI | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1902780810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 N 80TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184618",
"telephone_number": "414-841-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 N 80TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184618",
"telephone_number": "414-841-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL DALTON",
"first_name": "STEPHANIE",
"middle_name": "ALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "WI",
"license": "0019815",
"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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.