Nicole Lee Williams

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1150 Scioto St Ste 100
Urbana, OH 43078-2290

Phone

(937) 653-1349

Fax

(937) 653-1387

NPI assigned

Jun 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Champaign Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Urbana, OH
  • NPI 1033264619
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285830927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BRUMBAUGH DR",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453442523",
            "telephone_number": "937-849-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCIOTO ST STE 100",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782290",
            "telephone_number": "937-653-1349",
            "fax_number": "937-653-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rene Whip, MA, CCC-SLP
• William Howard White
• Shelby Whitehead, M.A., CCC-SLP
• John Mark Williams
• Kaylee M Williams
• Krissy Wilson
• Teresa Wilson
• Lara Noelle Wingler
• Amy Winters, CNP
• Heather Wolf

• Counselor in Urbana, OH
• Providers in Urbana, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.