TANYA A WILBERT (NPI# 1205465176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205465176 |
| Entity Type | Individual |
| Full Name | TANYA A WILBERT |
| Practice Address |
1915 W Fairmount Ave Milwaukee WI 53209 |
| Mailing Address |
Po Box 340324 Milwaukee WI 53234-0324 |
| Practice Telephone | 4147959731 |
| Mailing Telephone | 4147959731 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347E00000X | Transportation Broker | W4168017666106 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 46-4216712 | 05 |
| Street Address |
1915 W FAIRMOUNT AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871910281 | Ltb Transportation Inc. | Non-emergency Medical Transport (VAN) | 1915 W Fairmount Ave, Milwaukee, WI 53209-5722 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043847551 | Kirby Lockett | Transportation Broker | 5132 W Mill Rd, Milwaukee, WI 53218-1302 | 2020-03-25 |
| 1144788126 | Raphael Sherrod Jordan | Transportation Broker | 4051 N 88th St, Milwaukee, WI 53222-1714 | 2019-03-08 |
| 1164910022 | American United Transportation Group | Transportation Broker | 646 S 2nd St, Milwaukee, WI 53204-1615 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312050 | Tru-way Transport, LLC | Transportation Broker | 629 Truway Rd, Brussels, WI 54204-9512 | 2020-10-02 |
| 1699300129 | L & M Transport LLC | Transportation Broker | 7519 60th Ave Ste 100, Kenosha, WI 53142-4016 | 2020-03-05 |
| 1790257632 | Ra Town Transportation LLC | Transportation Broker | 1812 16th St, Racine, WI 53403-2134 | 2018-12-17 |
| 1831484070 | Safeway Transportation Inc | Transportation Broker | 8648 N 53rd St, Brown Deer, WI 53223-3010 | 2011-06-16 |
| 1346514486 | Southwestern Wisconsin Community Action Program, Inc. | Transportation Broker | 201 S Iowa St, Dodgeville, WI 53533-1739 | 2012-03-07 |
Please comment or provide details below to improve the information on TANYA A WILBERT.
| 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.