Women'S Functional Health and Hormone Ce

Primary specialty

SpecialistTaxonomy code 174400000X

License

2005000798 Issued in MO

Legal business name

WOMEN'S FUNCTIONAL HEALTH AND HORMONE CE

Practice address

1055 Ozark Care Dr
Osage Beach, MO 65065-3016

Phone

(573) 693-1516

Fax

(573) 693-1519

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Sonja Gayle Williams, D.O.

Title

Physician

Phone

(573) 693-1516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1023400272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 OZARK CARE DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653016",
            "telephone_number": "573-693-1516",
            "fax_number": "573-693-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 OZARK CARE DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653016",
            "telephone_number": "573-693-1516",
            "fax_number": "573-693-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S FUNCTIONAL HEALTH AND HORMONE CE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-693-1516",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "2005000798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie White, DDS
• Hallie Jean Willis, FNP-C
• Jessica Willis
• Cori Ann Wilson, P.T.A.
• Douglas Glen Wilson, D.O.
• Courtney Wood
• Elizabeth Kaye Woodward, AGNP-C
• Kim Wright, LPC
• Tiffini Wright
• Jennifer Renee Zabel, FNP-C

• Specialist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.