Shauntavia Williams, CRANIAL PROSTHETIC

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1631040 Issued in TX

Practice address

2813 Galleria Dr
Arlington, TX 76011-6715

Phone

(972) 816-3050

NPI assigned

Oct 2, 2023

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

Practice roles

Locations

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

• Ms & N International, Inc

  • Prosthetist
  • Arlington, TX
  • NPI 1922883073
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1073393682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 GALLERIA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116715",
            "telephone_number": "972-816-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 GALLERIA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116715",
            "telephone_number": "972-816-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAUNTAVIA",
        "name_prefix": "Ms.",
        "credential": "CRANIAL PROSTHETIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1631040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Christina Williams, LPN
• Patrick D. Williams, M.D.
• Paul Williams
• Raenesha Williams
• Shanell Asalynn Williams, LCSW
• Timothy E Williams, M.D.
• Tracey M Williams, LPC
• Zandera Williams, LPC
• Crystal J. Williamson, MS, LCSW
• Willis Counseling Services, LLC

• Prosthetist in Arlington, TX
• Providers in Arlington, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.