Active NPI
Reterrick Emmel Williams
- Non-emergency Medical Transport (VAN)
- Baton Rouge, LA
National Provider Identifier
1023661618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 011177033
- Practice address
- 1049 Swan Ave
Baton Rouge, LA 70807-4573 - NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 011177033 | LA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Smooth & Quality Transportation | Non-Emergency Medical Transport (Van) | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Baton Rouge, LA
- NPI 1114570645
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.