Active NPI
Leslie A Williams Te, AU.D.
- Audiologist
- Edmond, OK
National Provider Identifier
1235282963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 377
- Practice address
- 2801 S Bryant Ave
Edmond, OK 73013-6137 - Phone
- (405) 340-9191
- Fax
- (405) 340-9185
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A#289 | AR | |
| Audiologist | 231H00000X | 377 | OK | Primary |
Addresses
Primary practice location
2801 S Bryant Ave
Edmond, OK 73013-6137
Mailing address
2801 S Bryant Ave
Edmond, OK 73013-6137
Phone (405) 340-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200103300A | Medicaid | OK |
Other names 1
- Leslie A Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100802000555 | OK | Practitioner - Qualified Audiologist | 0941368492 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A#289 | AR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Hearing Solutions | Audiologist | Current | Accepting new patients |
| Cooper Clinic PA | Past | Accepting new patients | |
| Kris Watson & Associates Inc | Audiologist | Past | Accepting new patients |
Locations
1601 Health Center Pkwy
Ste 800
Yukon, OK 73099
Phone (405) 265-1133
Organizations & group practices 3
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.
-
- Audiologist
- Yukon, OK
- NPI 1982891230
-
- Audiologist
- Edmond, OK
- NPI 1497896260
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1154341931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1235282963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136137",
"telephone_number": "405-340-9191",
"fax_number": "405-340-9185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136137",
"telephone_number": "405-340-9191",
"fax_number": "405-340-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS TE",
"first_name": "LESLIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A#289",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200103300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "WILLIAMS",
"middle_name": "A",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.