Susan J Williams, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT788 Issued in NM

Practice address

1721 1/2 E University Ave
Las Cruces, NM 88001-5780

Phone

(575) 621-1061

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1336795780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 MERIWETHER ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880071950",
            "telephone_number": "575-621-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 1/2 E UNIVERSITY AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015780",
            "telephone_number": "575-621-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NM",
            "license": "AT788",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "AT788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Timothy Williams, LISW,LCSW,LADAC
• Rachel L Williams, MOT, OTR/L
• Richard Williams, D.C.
• Roselind Renee Williams, DNP, FNP-BC
• Sheila Q Williams, D.C.
• Beth Ann Williamson, CASE MANAGER
• Janie Tyler Hoffman Williamson
• Lea J Williamson, LMT
• Anna Joy Willingham, MD
• Rhonda Willis Page, CNP

• Athletic Trainer in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.