Active NPI
Jenna Williams, ATC
- General Acute Care Hospital
- Centerville, OH
National Provider Identifier
1053777631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- AT.004599
- Practice address
- 2400 Miami Valley Dr
Centerville, OH 45459-4774 - Phone
- (937) 438-2400
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AT.004599 | OH | Primary |
Addresses
Primary practice location
2400 Miami Valley Dr
Centerville, OH 45459-4774
Mailing address
46 E Chillicothe St
P.O. Box 235
Cedarville, OH 45314-9609
Phone (937) 572-3163
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 |
|---|---|---|---|
| AT.004599 | OH | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1053777631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 E CHILLICOTHE ST",
"address_2": "P.O. BOX 235",
"city": "CEDARVILLE",
"state": "OH",
"postal_code": "453149609",
"telephone_number": "937-572-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MIAMI VALLEY DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594774",
"telephone_number": "937-438-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OH",
"license": "AT.004599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.