Shyesha Williams

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

TLP050174 Issued in AZ

Practice address

17359 W Jackson St
Goodyear, AZ 85338-6047

Phone

(480) 526-3113

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By 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

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1164827176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17359 W JACKSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386047",
            "telephone_number": "480-526-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17359 W JACKSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386047",
            "telephone_number": "480-526-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHYESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "TLP050174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jean Williams, PT
• Joel Williams
• Kaywuana Williams
• Kirk G Williams II, MD
• Shanai Williams
• Tyne Alucia Williams, BCABA
• Meghan Paige Williamson, MOT
• Sonja Williamson
• Sonya Grace Willis, PSY.D
• Katelyn Willsey

• Licensed Practical Nurse in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.