Shakidrea Williams-Scott

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1409 Washington Ave Ste 304
Saint Louis, MO 63103-1913

Phone

(314) 405-8884

Fax

(314) 376-4580

NPI assigned

Jul 11, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Euphoria in-Home Health Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1205649704
  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1467004259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031913",
            "telephone_number": "314-405-8884",
            "fax_number": "314-376-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031913",
            "telephone_number": "314-405-8884",
            "fax_number": "314-376-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-SCOTT",
        "first_name": "SHAKIDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770953556",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Euphoriahealthllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 Washington Ave Ste 304",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631031913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Williams Consumers Directive Services LLC
• Williams Consumers Directive, LLC
• Emily A Williams Hartman, M.A., L.P.C.
• Williams Pharmacy Inc
• Iketia Williams-Patton, LPC
• Aaron Williams
• Abigail Williams, OTR/L
• Ada Williams, LPC
• Alexis Williams, HAIR LOSS SPECILAIST
• Alexis Chase Williams

• Home Health Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.