Ida M Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

759 W Church St
Suites 7 & 8
Lexington, TN 38351-1738

Phone

(731) 968-8197

Fax

(731) 967-1749

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1356663058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP",
            "address_2": "SUITE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054436",
            "telephone_number": "731-512-1571",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 W CHURCH ST",
            "address_2": "SUITES 7 & 8",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511738",
            "telephone_number": "731-968-8197",
            "fax_number": "731-967-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "IDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Bailee Wallace, FNP
• David Barton Waters, M.D.
• Alan Davis Weatherford, PA-C
• Megan Weatherford, PHARM. D.
• Wild Clarity Counseling
• Lana Williams, BSW
• Nicholas Steven Williams, PTA
• Willow Emergency Physicians, LLC
• Robert L Winston, M.D.
• Brittany Deanna Wood, MSED

• Case Manager/Care Coordinator in Lexington, TN
• Providers in Lexington, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.