Active NPI
Takeira Williams, RN
- Registered Nurse
- Clayton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2013039396
- Practice address
- 222 S Meramec Ave Ste 300
Clayton, MO 63105-3514 - Phone
- (877) 220-3434
- NPI assigned
- May 11, 2015
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 2013039396 | MO | |
| Home Health Registered Nurse | 163WH0200X | 2013039396 | MO | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Registered Nurse | 163W00000X | 2013039396 | MO | Primary |
Addresses
Primary practice location
222 S Meramec Ave Ste 300
Clayton, MO 63105-3514
Mailing address
720 Olive St Apt 2104
Saint Louis, MO 63101-2302
Phone (314) 399-8622
Other names 1
- Takeira Williams
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 |
|---|---|---|---|
| 2013039396 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careqor Wellness, LLC | Current | Accepting new patients | |
| Careqor Wellness, LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
744 Spirit of Saint Louis Blvd
Ste J
Chesterfield, MO 63005
Phone (314) 681-8388
222 S Meramec Ave
Ste 300
Saint Louis, MO 63105
Phone (816) 635-0739
100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626
Organizations & group practices 2
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.
-
- In Home Supportive Care Agency
- Saint Louis, MO
- NPI 1740016567
Case Manager/Care Coordinator
-
- In Home Supportive Care Agency
- Ridgeland, MS
- NPI 1568828341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1093193070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 OLIVE ST APT 2104",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631012302",
"telephone_number": "314-399-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S MERAMEC AVE STE 300",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053514",
"telephone_number": "877-220-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TAKEIRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MO",
"license": "2013039396",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MO",
"license": "2013039396",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2013039396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAKEIRA",
"last_name": "WILLIAMS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.