Delores Ann Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L25697 Issued in AR

Practice address

105 N Carter St
Clarksville, AR 72830-3114

Phone

(479) 214-7984

NPI assigned

Aug 19, 2008

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

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1467609685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N CARTER ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303114",
            "telephone_number": "479-214-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CARTER ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303114",
            "telephone_number": "479-214-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DELORES",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L25697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will Spada Creek Emergency Physicians
• Karen Willems-Hawkins, PTA
• Shannon Willems, MSN, APRN, PMHNP-BC
• William B. Maddox PA
• Amanda Williams, CMP
• William Edward Williams, D.O.
• Glenn Willis, RECOVERY ADVOCATE
• Kellie Jean Willis, LPN
• Steven Willis, RECOVERY ADVOCATE
• Gregory Wilson

• Licensed Practical Nurse in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.