Teryn Reshae Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R095990 Issued in AR

Practice address

7321 Leach Rd
Deridder, LA 70634-8909

Phone

(318) 206-5158

NPI assigned

Aug 22, 2018

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1013498773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 LEACH RD",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706348909",
            "telephone_number": "318-206-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 LEACH RD",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706348909",
            "telephone_number": "318-206-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERYN",
        "middle_name": "RESHAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN149489",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R095990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Louisiana Health Services Inc (Beauregard Memorial Hospital)
• Westwood Manor Nursing Home, LLC (Westwood Manor Nursing Home)
• Zahria Marie White
• Gretchen Renee Wilkerson, NP
• Jessica May Williams-Ashmore, MA, LPC
• Tammi Arrant Willis, RN4
• Tracy Winkley, PT
• Witter Family Medicine, PLC
• Women's Clinic of Southwest la.

• Registered Nurse in Deridder, LA
• Providers in Deridder, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.