Candace Rene' Williams, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R0107969 Issued in OK

Practice address

23701 S 655 Rd
Grove, OK 74344-6317

Phone

(918) 787-5452

Fax

(918) 517-3265

NPI assigned

Jul 23, 2019

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

Other names 1

• Mrs. Candace Rene' Williams Professional name

Electronic endpoints 1

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1376196980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 E ST SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743548708",
            "telephone_number": "918-961-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23701 S 655 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446317",
            "telephone_number": "918-787-5452",
            "fax_number": "918-517-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CANDACE",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OK",
            "license": "R0107969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rwilliams@sctribe.com",
            "affiliation": "N",
            "address_1": "23701 S 655 Rd",
            "city": "Grove",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743446317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "WILLIAMS",
            "middle_name": "RENE'",
            "prefix": "MRS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keli Elaine Whitlock
• Joanna Frances Whitmire
• Haley Jo Wigelsworth, APRN
• James Wikel
• Mark Allen Wilkinson
• Michael Andrew Williams, DPT
• Phillip Scott Williams, DO
• Staci Michelle Williams
• Amanda Kay Wills
• Megan Wilmering

• Case Management Registered Nurse in Grove, OK
• Providers in Grove, OK by specialty
• Case Management Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.