Tracie Yvette Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4172 Issued in LA

Practice address

4032 Brentwood St
Lake Charles, LA 70607-3608

Phone

(337) 794-3090

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1023746658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MILL ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706013351",
            "telephone_number": "337-217-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 BRENTWOOD ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073608",
            "telephone_number": "337-794-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACIE",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia NA'Sha Williams, MS CF-SLP
• Roger Mark Williams, M.D.
• Terrell Williams
• Theresa Jessica Williams, LPC
• Tiffany Williams
• Tracy Williams
• Walter Keith Williams Jr., MA, LPC, LMFT
• Michael Boyd Williamson, DDS
• Tiffany Anne Williamson, BCBA
• Brittney Jones Willians

• Speech-Language Pathologist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.