Darrell Lee Williams Sr., NA

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

W452135497678 Issued in MI

Practice address

25814 Beecham
Farmington Hills, MI 48336-4833

Phone

(248) 508-3563

NPI assigned

Jul 22, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1134772841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25814 BEECHAM RD # 2581",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361511",
            "telephone_number": "248-508-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25814 BEECHAM",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364833",
            "telephone_number": "248-508-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARRELL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "MI",
            "license": "W452135497678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damani Williams
• Dana L Williams
• Daniaya Williams
• Danielle Williams
• Danielle Williams
• Daterrell Williams
• Deja Williams
• Deja Williams
• Denise Williams
• Derryea Williams

• Secured Medical Transport (VAN) in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Secured Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.