Individual provider Active NPI

Caroline Williams, MS, CCC-SLP

  • Speech-Language Pathologist
  • Franklinton, LA
National Provider Identifier
1386093821
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9171 Issued in LA
Practice address
804 Cleveland St
Franklinton, LA 70438-7100
Phone
(985) 839-9816
NPI assigned
Jun 6, 2016
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9171 LA Primary
Speech-Language Pathologist 235Z00000X S4205 MS

Addresses

Primary practice location

804 Cleveland St
Franklinton, LA 70438-7100

Mailing address

160 Archie Wheat Rd
Poplarville, MS 39470-5515
Phone (985) 750-4571

Other practice location 1

120 N Curran Ave
Picayune, MS 39466-4036
Phone (769) 926-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9171LAMDSpeech-Language Pathologist
S4205MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1386093821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ARCHIE WHEAT RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394705515",
            "telephone_number": "985-750-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CLEVELAND ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704387100",
            "telephone_number": "985-839-9816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Curran Ave",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394664036",
            "country_code": "US",
            "telephone_number": "769-926-2441",
            "fax_number": "769-926-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9171",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.