Healthcare Provider Details

I. General information

NPI: 1992639983
Provider Name (Legal Business Name): SHAKEITHIA WADE-MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5429 N 91ST UNIT A
MILWAUKEE WI
53225
US

IV. Provider business mailing address

N92W17420 APPLETON AVE STE 103
MENOMONEE FALLS WI
53051-1363
US

V. Phone/Fax

Practice location:
  • Phone: 414-399-0393
  • Fax:
Mailing address:
  • Phone: 414-399-0393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: