Active NPI
Shaquela C Williams
- Community Health Worker
- Cleveland, OH
National Provider Identifier
1255173225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1008 E 152ND St Ste B
Cleveland, OH 44110-3300 - Phone
- (330) 418-8351
- NPI assigned
- Jun 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1008 E 152ND St Ste B
Cleveland, OH 44110-3300
Mailing address
944 E 147TH St Apt 3
Cleveland, OH 44110-3732
Phone (330) 705-1937
Other practice location 1
2490 Lee Blvd Ste B306
Cleveland Heights, OH 44118-1268
Phone (330) 418-8351
Other practice location 2
944 E 147th St Apt 3
Cleveland, OH 44110-3732
Phone (330) 705-1937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fun-to-the-Mental | Community Health Worker | Current | Accepting new patients |
Locations
1008 E 152nd St
Ste B
Cleveland, OH 44110
Phone (330) 418-8351
Organizations & group practices 1
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.
-
- Community Health Worker
- Cleveland, OH
- NPI 1124865712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1255173225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 E 147TH ST APT 3",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441103732",
"telephone_number": "330-705-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 E 152ND ST STE B",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441103300",
"telephone_number": "330-418-8351"
}
],
"practiceLocations": [
{
"address_1": "2490 Lee Blvd Ste B306",
"address_purpose": "LOCATION",
"city": "Cleveland Heights",
"state": "OH",
"postal_code": "441181268",
"country_code": "US",
"telephone_number": "330-418-8351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "944 E 147th St Apt 3",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441103732",
"country_code": "US",
"telephone_number": "330-705-1937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHAQUELA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.