Shyrl Alethea Willis-Coachman, WHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN131517 Issued in GA

Practice address

455 Grayson Hwy
Ste300
Lawrenceville, GA 30046-7171

Phone

(770) 339-4283

Fax

(770) 339-5641

NPI assigned

Aug 19, 2011

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

Other identifiers 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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1427338524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 RIVERSIDE PKWY",
            "address_2": "PO BOX 897",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463339",
            "telephone_number": "770-339-4260",
            "fax_number": "770-339-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GRAYSON HWY",
            "address_2": "STE300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467171",
            "telephone_number": "770-339-4283",
            "fax_number": "770-339-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-COACHMAN",
        "first_name": "SHYRL",
        "middle_name": "ALETHEA",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN131517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456486C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Clancy Williamson, O.T.R., C.H.T.
• Mitchell Todd Williamson, M.D.
• Sandy Antoinette Williamson, RN
• Sonja L Williford, LPTA
• Summer Lynn Willingham
• Brenda Willis-Wade, MD
• Christopher P Willis, D.C.
• Pamela Willis, CCC-SP
• Shannon Teresa Willis, MD
• Victorine C Willoughby

• Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.