Alicia Michele Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

PCA 15402 Issued in LA

Practice address

634 N Highway 171
Lake Charles, LA 70611-5348

Phone

(337) 855-2803

Fax

(337) 855-2824

NPI assigned

Jan 25, 2008

Last updated

Jan 23, 2023By 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

Practice roles

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.

• 1St Abundant Home Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Lake Charles, LA
  • NPI 1043470701
  NPD Authorized official
• 1St Abundant Home Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Lake Charles, LA
  • NPI 1154582732
  NPD Authorized official

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1205013992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 IHLES RD # 14",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055900",
            "telephone_number": "337-602-6241",
            "fax_number": "337-602-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 N HIGHWAY 171",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115348",
            "telephone_number": "337-855-2803",
            "fax_number": "337-855-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALICIA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "LA",
            "license": "PCA 15402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069868",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Wilkins
• Kendrick Charles Wilkins
• Veronica Lynne Wilkins, D.C.
• Cole Wilkinson, DC
• Wilkyway LLC
• Annabelle Duane Williams, PLPC
• Belinda Williams
• Benjamin Bryce Williams, M.D.
• Brandi Dugas Williams
• Brianna Williams

• Community Health Worker in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Community Health Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.