Active NPI
Shirlestine Williams
- Home Health Aide
- Rocky Mount, NC
National Provider Identifier
1295457232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 88-3768507
- Practice address
- 1621 Fountain St
Rocky Mount, NC 27801-3526 - Phone
- (252) 813-1819
- NPI assigned
- Sep 15, 2022
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 88-3768507 | NC | Primary |
Addresses
Primary practice location
1621 Fountain St
Rocky Mount, NC 27801-3526
Mailing address
PO Box 143
Rocky Mount, NC 27802-0143
Phone (252) 813-1819
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 |
|---|---|---|---|
| 88-3768507 | NC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1295457232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 143",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278020143",
"telephone_number": "252-813-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 FOUNTAIN ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278013526",
"telephone_number": "252-813-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHIRLESTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "88-3768507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.