Individual provider Active NPI

Reterrick Emmel Williams

  • Non-emergency Medical Transport (VAN)
  • Baton Rouge, LA
National Provider Identifier
1023661618
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
011177033 Issued in LA
Practice address
1049 Swan Ave
Baton Rouge, LA 70807-4573
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 011177033 LA Primary

Addresses

Primary practice location

1049 Swan Ave
Baton Rouge, LA 70807-4573

Mailing address

1049 Swan Ave
Baton Rouge, LA 70807-4573
Phone (318) 538-8583

Other practice location 1

1049 Swan Ave
Baton Rouge, LA 70807-4573
Phone (318) 538-8583

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

LicenseStateTypeSpecialty
011177033LAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Smooth & Quality Transportation Non-Emergency Medical Transport (Van) CurrentSince Jul 28, 2019 Accepting new patients

Locations

1049 Swan Ave
Baton Rouge, LA 70807
Phone (318) 538-8583

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1023661618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SWAN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708074573",
            "telephone_number": "318-538-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SWAN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708074573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Swan Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708074573",
            "country_code": "US",
            "telephone_number": "318-538-8583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RETERRICK",
        "middle_name": "EMMEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "011177033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.