Active NPI
Courtney Williams
- Occupational Therapist
- Vaiden, MS
National Provider Identifier
1023522448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2473
- Practice address
- 868 Mulberry St
Vaiden, MS 39176-5385 - Phone
- (662) 728-6234
- NPI assigned
- Nov 21, 2017
- Last updated
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2473 | MS | Primary |
Addresses
Primary practice location
868 Mulberry St
Vaiden, MS 39176-5385
Mailing address
2844 Traceland Dr
Tupelo, MS 38801-4200
Phone (662) 680-3148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT2473 | Other | MS | OT LICENSE MISSISSIPPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2473 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1023522448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 TRACELAND DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014200",
"telephone_number": "662-680-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 MULBERRY ST",
"city": "VAIDEN",
"state": "MS",
"postal_code": "391765385",
"telephone_number": "662-728-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE MISSISSIPPI",
"identifier": "OT2473",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vaiden, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.