Organization Active NPI

Regina Williams

  • Physical Disabilities Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1346462439
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
689500 Issued in TX
Legal business name
REGINA WILLIAMS
Practice address
3807 Willowwood Blvd
San Antonio, TX 78219-2537
Phone
(210) 227-7054
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Ms. Regina C. Williams
Title
Owner
Phone
(210) 227-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 689500 TX Primary

Addresses

Primary practice location

3807 Willowwood Blvd
San Antonio, TX 78219-2537

Mailing address

3807 Willowwood Blvd
San Antonio, TX 78219-2537
Phone (210) 227-7054

Other identifiers 1

IdentifierTypeStateIssuer
F50016386MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1346462439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 WILLOWWOOD BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782192537",
            "telephone_number": "210-227-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WILLOWWOOD BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782192537",
            "telephone_number": "210-227-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-227-7054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "689500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F50016386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.