Active NPI
Elonda Sharay Williams, CCHW
- Community Health Worker
- Canton, OH
National Provider Identifier
1467989798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CHW000752
- Practice address
- 408 9TH St SW
Canton, OH 44707-4714 - Phone
- (330) 639-7415
- Fax
- (330) 437-3717
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CHW000752 | OH | Primary |
Addresses
Primary practice location
408 9TH St SW
Canton, OH 44707-4714
Mailing address
408 9TH St SW
Canton, OH 44707-4714
Phone (330) 639-7415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHW000752 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1467989798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 9TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447074714",
"telephone_number": "330-639-7415",
"fax_number": "330-437-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 9TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447074714",
"telephone_number": "330-639-7415",
"fax_number": "330-437-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ELONDA",
"middle_name": "SHARAY",
"credential": "CCHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "CHW000752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.