Desiree Laquonda Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN109879 Issued in OH

Practice address

16109 Mendota Ave
Maple Heights, OH 44137-4813

Phone

(216) 673-0120

NPI assigned

May 15, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1346475605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16109 MENDOTA AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374813",
            "telephone_number": "216-673-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16109 MENDOTA AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374813",
            "telephone_number": "216-673-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DESIREE",
        "middle_name": "LAQUONDA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN109879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Wilkes
• Austin Willcox
• Williams Family Services, LLC
• Amiya Leigh Williams
• Chonda R Williams, MSSA, LISW-S
• Doris L Williams
• Erice Shardaye Williams
• Martin Williams, LISW
• Shonda Williams
• Stephanie Williams

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.