Dominique Jamison-Willams

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

31002428A Issued in IN

Legal business name

DOMINIQUE JAMISON-WILLAMS

Practice address

6400 Arthur St
Merrillville, IN 46410-3123

Phone

(219) 981-8551

NPI assigned

May 24, 2008

Organization subpart

No

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

Authorized official

Name

Dominique Lashanda Jamisom-Williams, MSOTR

Title

Occupational Therapist

Phone

(219) 981-8551

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique Lashanda Jamison-Williams, OTR

  • Occupational Therapist
  • Merrillville, IN
  • NPI 1902021249
  NPD (past)

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211587200000",
    "number": "1043478225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ARTHUR ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103123",
            "telephone_number": "219-981-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARTHUR ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103123",
            "telephone_number": "219-981-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE JAMISON-WILLAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-24",
        "last_updated": "2008-05-24",
        "status": "A",
        "authorized_official_last_name": "JAMISOM-WILLIAMS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "LASHANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "219-981-8551",
        "authorized_official_credential": "MSOTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "31002428A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200610120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200708930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Alice Dmello, MS
• Dmkdc Hope Restorers (Helping Hearts)
• Haley Dockery
• Dockside Services, LLC (Clarvida)
• Alexis Dodson, RBT
• Maya Janay Dominique, M.D.
• Kimberly Donaghue
• Hayley Jordan Dorsett, MA, LMHC, NCC
• Dortch's Transportation
• John William Doss, PA-C

• Early Intervention Provider Agency in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Early Intervention Provider Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; 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.