Devon Marie Williams

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

503 Durst Dr
Englewood, OH 45322-2323

Phone

(937) 269-7890

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1093312878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S 3RD ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711729",
            "telephone_number": "937-269-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DURST DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222323",
            "telephone_number": "937-269-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEVON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse Weber, PA
• Timothy Weeks, PA-C
• Stuart Alan Weprin, M.D.
• Shannon Whitacre
• Christyne Williams, RN
• Rebekah Diane Williams, CNP
• Joyce Willis
• Eboni Wilson
• Patricia Ann Winblad, LMT
• Kay Ellen Wise, RPH

• Personal Care Attendant in Englewood, OH
• Providers in Englewood, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.