Carol Ann Williams, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT29591 Issued in CA

Practice address

4422 N Pershing Ave
Stockton, CA 95207-6954

Phone

(209) 953-8843

Fax

(209) 953-8478

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184745721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 DOUGLAS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074113",
            "telephone_number": "209-951-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N PERSHING AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076954",
            "telephone_number": "209-953-8843",
            "fax_number": "209-953-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT29591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dale Whitted OD
• William G.Low DDS a Professional Dental Corp (A Professional Dental Corp.)
• Brieana Williams Berry, PPS
• Andrea A Williams
• Breanna Chanel Williams
• Cassidy Raye Dean Williams
• Dawayla Sheree Williams, MSW, LCSW
• Dayna Williams, PT, DPT
• Elizah Williams
• Erica Louise Williams, RBT, MPH

• Licensed Psychiatric Technician in Stockton, CA
• Providers in Stockton, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.