Vanessa G. Williams, OWNER – Homemaker

Key facts

NPI: 1154952976
Entity type: Individual (NPI type 1)
Primary specialty: Homemaker 376J00000X
Practice address: 1624 S Houmas Ave
Gonzales, LA 70737-4916
Phone: (225) 390-6320
Fax: (225) 644-5225
NPI assigned: Jan 30, 2020
Sex: Female
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Homemaker	376J00000X			Yes

Addresses

Primary practice location

1624 S Houmas Ave
Gonzales, LA 70737-4916

Mailing address

1624 S Houmas Ave
Gonzales, LA 70737-4916
Phone (225) 390-6320

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2020.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1154952976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S HOUMAS AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374916",
            "telephone_number": "225-390-6320",
            "fax_number": "225-644-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S HOUMAS AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374916",
            "telephone_number": "225-390-6320",
            "fax_number": "225-644-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VANESSA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

All providers in Gonzales, LA · Homemaker in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.