BETHANY MARIE SHOEMAKER SAC-IT
NPI 1508487695
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Q: What is Bethany Shoemaker's NPI number?

The NPI number for Bethany Shoemaker is 1508487695. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Q: What is Bethany Shoemaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Shoemaker was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2020

5109 WORLD DAIRY DR, MADISON, WI 53718(608) 242-0220(608) 242-1166 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bethany Marie Shoemaker Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY MARIE SHOEMAKER SAC-IT (NPI 1508487695) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (19155-130) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1508487695

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameBETHANY MARIE SHOEMAKERCredential: SAC-IT

Location Address5109 WORLD DAIRY DRMadison, WI 53718-3807

Mailing Address5109 World Dairy DrMadison, WI 53718-3807 · (608) 242-0220 · Fax (608) 242-1166

Phone(608) 242-0220

Fax(608) 242-1166

Sole ProprietorNo

Enumeration DateApril 30, 2020

NPPES CertifiedApril 30, 2020

✔ NPI 1508487695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 19155-130

5109 WORLD DAIRY DR, Madison, WI 53718

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOANN LORRIE SCHEPP L.P.N.

Clinic/Center (Mental Health (Including Community Mental Health Center))