Individual provider Active NPI

Consandra Lyn Williams

  • Driver
  • Dequincy, LA
National Provider Identifier
1104640549
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
006160494 Issued in LA
Practice address
707 Seymour Pullam LN
Dequincy, LA 70633-4107
Phone
(337) 764-3531
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006160494LAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Blessings Transportation LLC Current
since Nov 17, 2024
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 006160494 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

707 Seymour Pullam LN
Dequincy, LA 70633-4107

Mailing address

707 Seymour Pullam LN
Dequincy, LA 70633-4107
Phone (337) 764-3531

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2024.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1104640549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SEYMOUR PULLAM LN",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706334107",
            "telephone_number": "337-764-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SEYMOUR PULLAM LN",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706334107",
            "telephone_number": "337-764-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CONSANDRA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "006160494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.