Andrea Janette Williams

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13254 Issued in NC

Practice address

2440 Hwy 258N
Kinston, NC 28504-7203

Phone

(757) 404-5236

NPI assigned

Oct 25, 2019

Last updated

Oct 25, 2019By the provider in NPPES

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

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1386287977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HWY 258N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047203",
            "telephone_number": "757-404-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HWY 258N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047203",
            "telephone_number": "757-404-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "JANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "13254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "andreaw259@gmail.com",
            "affiliation": "N",
            "address_1": "2440 Hwy 258N",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285047203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rakitra Monique Wiggins, FNP
• Edith Losey Wigman, PHYSICIAN ASSISTANT
• Wiley L Edwards Jr DDS PLLC (Edwards Dentures and Implants)
• Charles Murray Wilkins, RPH
• William S. Harvey III, DDS PLLC (Harvey and Associates Family Dentistry)
• Candace Williams
• Denise Williams, PT
• Garry Williams
• Isaiah Williams
• Brittney Taylor Willis, PA

• Massage Therapist in Kinston, NC
• Providers in Kinston, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.