Charmane Mercedes Williams

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

1401217980 Issued in VA

Practice address

1412 Portsmouth Blvd
Portsmouth, VA 23704-6438

Phone

(757) 652-7506

NPI assigned

Oct 11, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1265252548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W WASHINGTON ST STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345254",
            "telephone_number": "757-652-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046438",
            "telephone_number": "757-652-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARMANE",
        "middle_name": "MERCEDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401217980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Willaert
• Joyce Ann Willett, LPTA
• Reva Jeanette Williams-Cannady, RPH
• Akilah Williams, PHARMD
• Camille Irene Williams, MD
• Ginika E Williams, P A -C
• Karen Williams, LPN
• Katie Williams
• Kim Machon Williams, HEALTH CARE SERVICE
• Lana Tucker Williams, ACSW LCSW

• Nurse's Aide in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Nurse's Aide in Virginia

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

Verify at the official NPI Registry.