Individual provider Active NPI

Laquandra Shantee Williams, STNA

  • Personal Care Attendant
  • Columbus, OH
National Provider Identifier
1164911467
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
0259743 Issued in OH
Practice address
1138 Lexington Ave
Columbus, OH 43201-2939
Phone
(614) 373-2856
NPI assigned
May 2, 2018
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis Technician 2472R0900X DTI.005366
Nurse's Aide 376K00000X 400508605 OH
Personal Care Attendant 3747P1801X 0259743 OH Primary

Addresses

Primary practice location

1138 Lexington Ave
Columbus, OH 43201-2939

Mailing address

1138 Lexington Ave
Columbus, OH 43201-2939
Phone (614) 373-2856

Other identifiers 1

IdentifierTypeStateIssuer
0259743MedicaidOH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0259743OHMDPersonal Care Attendant
400508605OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands and Hearts LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1164911467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 LEXINGTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012939",
            "telephone_number": "614-373-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 LEXINGTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012939",
            "telephone_number": "614-373-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAQUANDRA",
        "middle_name": "SHANTEE",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": "DTI.005366",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400508605",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "0259743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259743",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.