SHANON ROSE TADARAVICIUS (NPI# 1922510718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922510718 |
| Entity Type | Individual |
| Full Name | SHANON ROSE TADARAVICIUS |
| Credential | RN |
| Practice Address |
4800 S 10th St Milwaukee WI 53221-2412 |
| Practice Telephone | 4142694335 |
| Mailing Telephone | 4147445370 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 237486 | WI | Nursing Service Providers |
| Street Address |
4800 S 10TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750427167 | Catherine D'alessio | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2007-01-30 |
| 1063035681 | Amelia C Niesen | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2020-05-19 |
| 1396306775 | Tesa Zackery | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-06-26 |
| 1083270946 | Vickie Banaszynski | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-05-16 |
| 1023671500 | Benito Cruz-sanchez | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-04-19 |
| 1356803100 | Sophia Branen | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-04-02 |
| 1750842969 | Loretta Mummer | Licensed Practical Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-03-29 |
| 1346707346 | Stephanie Popoutsis | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-26 |
| 1952868036 | Rafal Zerebecki | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-26 |
| 1780141879 | Madeleine L Boman | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337089 | Mary Jane De Jesus | Registered Nurse | 934 S 32nd St, Milwaukee, WI 53215-1550 | 2020-08-20 |
| 1811505191 | Krystal Martin | Registered Nurse | 6974 N 43rd St Unit C, Milwaukee, WI 53209-2270 | 2020-07-22 |
| 1851909410 | Shemiah Amughmun | Registered Nurse | 7822 W Villard Ave, Milwaukee, WI 53218-3513 | 2020-07-20 |
| 1295356988 | Brooke Schiedemeyer | Registered Nurse | 310 E Ward St Apt 309, Milwaukee, WI 53207-1374 | 2020-05-04 |
| 1639706617 | Aquilla Robertson | Registered Nurse | 5029 N 37th St, Milwaukee, WI 53209-5331 | 2020-03-27 |
| 1174159768 | Katelynne Independence Klein | Registered Nurse | 2229 W Finn Pl, Milwaukee, WI 53206-1847 | 2020-03-16 |
| 1285267278 | Jeneva Sunday | Registered Nurse | 603 N Hawley Rd, Milwaukee, WI 53213-4237 | 2020-02-18 |
| 1609407816 | Ranesha Pate | Registered Nurse | 4437 N 55th St, Milwaukee, WI 53218-5715 | 2020-01-28 |
| 1487284469 | Susan Mary Kraft | Registered Nurse | 1417 E Crawford Ave, Milwaukee, WI 53207-4037 | 2020-01-18 |
| 1255970968 | Maiko Hoye | Registered Nurse | 3615 S 60th St Apt 12, Milwaukee, WI 53220-1365 | 2019-12-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.