Angela Mae Williams, MA,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY1845 Issued in KY

Practice address

77 Mize Branch Rd
Manchester, KY 40962-6632

Phone

(606) 493-6957

NPI assigned

Oct 21, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1356713077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404471025",
            "telephone_number": "606-493-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MIZE BRANCH RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626632",
            "telephone_number": "606-493-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Lynn Wagers, APRN-FNP
• Keshia Breanne Wagers, PH.D.
• Walgreen Co
• Michelle Gray White
• Gregory Charles Wilkens, M.D.
• Willowbrook Womens Center
• Billy Brian Wilson, NP
• Angela Smith Woods, M.A.,CCC/SLP
• Crystal Yeager, PA
• Anthony Matthew Young, APRN, FNP-C

• Speech-Language Pathologist in Manchester, KY
• Providers in Manchester, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.