Ronnie Dale Williams, CNA , CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MX060119 Issued in ID

Practice address

7683 W Riverside Dr
Boise, ID 83714-6188

Phone

(208) 853-2227

NPI assigned

Mar 11, 2008

Last updated

Mar 19, 2008By 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

Other identifiers 1

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1174793616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 THURMAN DR APT 7",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141161",
            "telephone_number": "208-302-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7683 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146188",
            "telephone_number": "208-853-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RONNIE",
        "middle_name": "DALE",
        "name_prefix": "Ms.",
        "credential": "CNA , CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MX060119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHONURSEAIDE PROGRAM",
            "identifier": "00078560602",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Williams
• McKenzie Williams, WHNP
• Mendy Williams
• Michael Forrest Williams Sr., D.C.
• Remie Lucinda Williams
• Shauna Williams, M.D.
• Steven W Williams, MD
• Tiffani Tania Williams, LCPC
• Tina Williams, FNP-BC
• Todd Quinn Williams, MS, LCPC, NCC

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.