Jasmine Williams

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

104 Maxwell Ave Ste 312
Greenwood, SC 29646-2641

Phone

(864) 229-7529

NPI assigned

Jan 16, 2020

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

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1093345258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CHURCH STREET NORTH EXT",
            "city": "NINETY SIX",
            "state": "SC",
            "postal_code": "296668728",
            "telephone_number": "864-992-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAXWELL AVE STE 312",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462641",
            "telephone_number": "864-229-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Smith Willard, PA-C
• Oliver T Willard, MD
• William Burton Gray
• Ashley Williams
• James-Evon Sterling Williams, DPT
• Julie Lee Williams, PTA
• Lacy Angilek Williams, RN
• Maggie Williams
• Tameaka Williams, NP
• Tyisha Lashay Williams

• All providers in Greenwood, SC
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.