Individual provider Active NPI

Leslie A Williams Te, AU.D.

  • Audiologist
  • Edmond, OK
National Provider Identifier
1235282963
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
377 Issued in OK
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

Updated by the provider on Jan 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200103300AMedicaidOK

Other names 1

  • Leslie A Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000555 OK Practitioner - Qualified Audiologist 0941368492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A#289ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Hearing Solutions Audiologist CurrentSince Apr 20, 2011 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.

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.

Verify at the official NPI Registry.