Active NPI
Sharifa Williams
- Community Health Worker
- Central Islip, NY
National Provider Identifier
1275966244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 008134
- Practice address
- 188 Bark Ave
Central Islip, NY 11722-2826 - Phone
- (631) 747-1659
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 008134 | NY | Primary |
Addresses
Primary practice location
188 Bark Ave
Central Islip, NY 11722-2826
Mailing address
188 Bark Ave
Central Islip, NY 11722-2826
Phone (631) 747-1659
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1275966244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 BARK AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222826",
"telephone_number": "631-747-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 BARK AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222826",
"telephone_number": "631-747-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHARIFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "008134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.