Shala Dawn Williams, RN-ABN

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

70555 Issued in NE

Practice address

1000 S 13TH St
Lincoln, NE 68508-3533

Phone

(402) 477-3951

Fax

(402) 477-3922

NPI assigned

Jan 24, 2011

Last updated

Dec 20, 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 2

Addresses

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1427353309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 PLATTE AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071463",
            "telephone_number": "402-429-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 13TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685083533",
            "telephone_number": "402-477-3951",
            "fax_number": "402-477-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHALA",
        "middle_name": "DAWN",
        "credential": "RN-ABN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "70555",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NE",
            "license": "70555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Williams, PHD
• Ruth L Williams
• Samaria Zealona Jean Williams I
• Sarah Noelle Williams, PA-C
• Sarah Sue Williams
• Shania Williams
• Shannon Marie Williams
• Sharon Williams
• Sherrie Williams
• Sterling Williams

• Substance Abuse Rehabilitation Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Substance Abuse Rehabilitation Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.