Individual provider Active NPI

Nancy Lea Williams, MS, CCC-SLP

  • Speech-Language Pathologist
  • Cordova, TN
National Provider Identifier
1003942160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2585 Issued in TN
Practice address
596 Arbor Hollow Cir
#308
Cordova, TN 38018-3409
Phone
(901) 262-3733
Fax
(901) 754-6186
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2585 TN Primary
Speech-Language Pathologist 235Z00000X 618 AR

Addresses

Primary practice location

596 Arbor Hollow Cir
#308
Cordova, TN 38018-3409

Mailing address

596 Arbor Hollow Cir
#308
Cordova, TN 38018-3409
Phone (901) 262-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2585TNMDOccupational Therapist
618ARMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003942160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ARBOR HOLLOW CIR",
            "address_2": "#308",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183409",
            "telephone_number": "901-262-3733",
            "fax_number": "901-754-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ARBOR HOLLOW CIR",
            "address_2": "#308",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183409",
            "telephone_number": "901-262-3733",
            "fax_number": "901-754-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NANCY",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2585",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.