Grand Rising PNCC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GRAND RISING PNCC

Practice address

1620 N 29TH St
Milwaukee, WI 53208-2009

Phone

(414) 526-1541

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Chiquita S Shadwick

Title

Ceo

Phone

(414) 526-1431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1992411300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N 29TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082009",
            "telephone_number": "414-526-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N 29TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082009",
            "telephone_number": "414-526-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RISING PNCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "SHADWICK",
        "authorized_official_first_name": "CHIQUITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-526-1431"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephania Graham, LPN
• Katherine J Gralinski, APNP
• David W Grambow, MD
• Samuel Robert Vincent Granatelli
• Paige Elizabeth Granberg
• Cheryl A. Grandlich, N.P.
• Holly Granfield, DDS
• Grange Vision Center, Inc.
• Britt Alyssa Granholm, PHARMD
• Lisa Joan Granica, RN

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.