Susan Lynn Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008001427A Issued in IN

Practice address

134 Executive Dr
Suite 3
Lafayette, IN 47905

Phone

(765) 448-6489

Fax

(765) 448-9775

NPI assigned

Feb 12, 2007

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williams Chiropractic Corp PCGroup PAC ID 4385816214, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Williams Chiropractic Corp PC

  dba Care Chiropractic

  • Chiropractor
  • Lafayette, IN
  • NPI 1710103957
  Medicare reassignment Care Compare group NPD
• Back2Health, LLC

  • Chiropractor
  • Vincennes, IN
  • NPI 1215050695
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1255473856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035943",
            "telephone_number": "765-448-6489",
            "fax_number": "765-448-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EXECUTIVE DR",
            "address_2": "SUITE 3",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-448-6489",
            "fax_number": "765-448-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "008001427A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200129120A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10787204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMM",
            "identifier": "350054830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loran Lee Williams, PHARMD
• Mark H Williams, MD
• Sherman Anthony Williams, M.D.
• Shiequane Roshandra Williams
• Skyler Williams, CRNA
• Heather Nicole Williamson
• Kathleen M Williamson, M.D.
• Robert T Williamson, M.D.
• Sarah Michelle Willoughby
• Willowstone Family Services

• Chiropractor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.