Active NPI
Liandra Marie Williams, R.N.
- Registered Nurse
- San Antonio, TX
National Provider Identifier
1083920722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 66103
- Practice address
- 16019 Nacogdoches Rd Ste 101
San Antonio, TX 78247-1128 - Phone
- (808) 471-1866
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1207198 | VA | |
| Medical-Surgical Registered Nurse | 163WM0705X | 584699 | CA | |
| Registered Nurse | 163W00000X | 66103 | HI | Primary |
Addresses
Primary practice location
16019 Nacogdoches Rd Ste 101
San Antonio, TX 78247-1128
Mailing address
7400 Merton Minter St
San Antonio, TX 78229-4404
Phone (210) 617-5300
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66103 | HI | MD | Registered Nurse |
| 1207198 | VA | MD | Registered Nurse |
| 584699 | CA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1083920722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-617-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16019 NACOGDOCHES RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782471128",
"telephone_number": "808-471-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LIANDRA",
"middle_name": "MARIE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "1207198",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "584699",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "66103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.