Carol Deonna Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0084674 Issued in OK

Practice address

4011 Gulick St
Muskogee, OK 74403-8660

Phone

(918) 577-0509

NPI assigned

Nov 22, 2016

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1396288486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GULICK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038660",
            "telephone_number": "918-577-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GULICK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038660",
            "telephone_number": "918-577-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROL",
        "middle_name": "DEONNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0084674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Medical Group Practice, LLC
• Williams Medical Group Practice, LLC
• Alicia Williams
• Baylee Faye Williams
• Brandi Williams
• Dean A Williams, MSW
• Julie Robin Williams, RD
• Kimberly Michelle Williams, LCSW
• Lisa S Williams, DPH
• Nathan R.B. Williams, D.C.

• All providers in Muskogee, OK
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.