Active NPI
Jacqueline Chanthay Williams
- Licensed Practical Nurse
- Altus, OK
National Provider Identifier
1265992515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 44674
- Practice address
- 1323 E Ash St
Altus, OK 73521-2908 - Phone
- (580) 318-9451
- NPI assigned
- Mar 22, 2019
- Last updated
- Mar 22, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 44674 | OK | Primary |
Addresses
Primary practice location
1323 E Ash St
Altus, OK 73521-2908
Mailing address
1323 E Ash St
Altus, OK 73521-2908
Phone (580) 318-9451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44674 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1265992515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 E ASH ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735212908",
"telephone_number": "580-318-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 E ASH ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735212908",
"telephone_number": "580-318-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JACQUELINE",
"middle_name": "CHANTHAY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "44674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
- Whitney N Lamb, DDS Family Dentistry
- Jennifer Rechelle Wiley, RBT
- Tim Wilkins, D.MIN.
- Tara Deann Wilks, MS, CCC-SLP
- Williams Medical Group Practice, LLC (Integrity Urgent Care)
- Justyn Williams, PHARM.D.
- Misty Gail Williams, APRN-CNP
- Christina Lee Williamson, FNP-BC
- Kyndel Rae Willis
- Sandra L Willis, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.