SHADE MEDICAL AND CREATIVE TATTOO LLC
NPI 1548820731
Specialist/Technologist, Other - Art, Medical in Madison, WI

Active since June 19, 2019
3230 UNIVERSITY AVE STE 12, MADISON, WI 53705(608) 571-2617 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shade Medical And Creative Tattoo Llc NPPES

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

SHADE MEDICAL AND CREATIVE TATTOO LLC (NPI 1548820731), doing business as Shade Tattoo Studio, is a healthcare organization registered as an art, medical in Madison, Wisconsin and active in the NPI registry since June 2019. The organization lists Alissa Christine Waters, Owner/tattooist, as its authorized official.

NPPES Registry Identity

NPI1548820731
Entity TypeOrganization
Primary Taxonomy246ZA2600X
Legal Business NameSHADE MEDICAL AND CREATIVE TATTOO LLC
Location Address3230 UNIVERSITY AVE STE 12Madison, WI 53705-3540
Mailing Address2201 Westchester RdFitchburg, WI 53711-4370 · (608) 770-5682
Organization SubpartNo
Authorized OfficialAlissa Christine WatersOwner/tattooist · (608) 770-5682
Enumeration DateJune 19, 2019
NPI 1548820731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Art, MedicalTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZA2600X
3230 UNIVERSITY AVE STE 12, Madison, WI 53705

Other Names 1

Doing Business AsShade Tattoo Studio

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Specialist/Technologist, Other (Art, Medical)
3230 UNIVERSITY AVE STE 12
MADISON, WI 53705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shade Medical And Creative Tattoo LLC's NPI number?

The NPI number for Shade Medical And Creative Tattoo LLC is 1548820731. It was assigned to this organization in the NPPES registry on June 19, 2019. The provider is doing business as Shade Tattoo Studio.

Where is Shade Medical And Creative Tattoo LLC located?

Shade Medical And Creative Tattoo LLC is located at 3230 University Ave Ste 12, Madison, WI 53705. The listed phone number is (608) 571-2617.

What is Shade Medical And Creative Tattoo LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Art, Medical, with taxonomy code 246ZA2600X.

When was this NPI record last updated?

The NPPES record for Shade Medical And Creative Tattoo LLC was last updated on June 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.