Active NPI
Shereese Williams
- Home Health Aide
- Rocky Mount, NC
National Provider Identifier
1336848589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC3599
- Practice address
- 107 SE Main St
Rocky Mount, NC 27801-5400 - Phone
- (252) 985-4165
- Fax
- (252) 443-4233
- NPI assigned
- Feb 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HC3599 | NC | |
| Home Health Aide | 374U00000X | HC3599 | NC | Primary |
Addresses
Primary practice location
107 SE Main St
Rocky Mount, NC 27801-5400
Mailing address
107 SE Main St
Rocky Mount, NC 27801-5400
Phone (252) 985-4165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972664092 | Medicaid | NC |
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 |
|---|---|---|---|
| HC3599 | NC | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis II Home Care Services Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Rocky Mount, NC
- NPI 1528837853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1336848589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SE MAIN ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015400",
"telephone_number": "252-985-4165",
"fax_number": "252-443-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SE MAIN ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278015400",
"telephone_number": "252-985-4165",
"fax_number": "252-443-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHEREESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "HC3599",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC3599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972664092",
"state": "NC"
}
],
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.