Minnie Michelle Williams, BS, SLA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

305 Valley Dr
Helena, AR 72342-1505

Phone

(870) 338-4425

NPI assigned

Apr 29, 2020

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

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helena-West Helena Schools

  • Local Education Agency (LEA)
  • Helena, AR
  • NPI 1356403265
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1205457488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "LA GRANGE",
            "state": "AR",
            "postal_code": "723520155",
            "telephone_number": "870-995-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VALLEY DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723421505",
            "telephone_number": "870-338-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MINNIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Prof.",
        "credential": "BS, SLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03-0057",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russie Eudell West Jr.
• Tango Marie Wilkins
• William Ronald Frederick
• Gale L Williams
• Mattie Williams
• Tasha Lyvette Williams
• Michael Bernard Wilson, QBHP
• Nona Leona Wilson
• Joshua Kevon Womack
• Edward P Wright, PHARMD

• Speech-Language Assistant in Helena, AR
• Providers in Helena, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.