Tazariya Williams

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000040546093 Issued in NC

Practice address

4665 Omaha Beach St
Fort Irwin, CA 92310-1914

Phone

(254) 290-9826

NPI assigned

Apr 5, 2024

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": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1477306934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 OMAHA BEACH ST",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101914",
            "telephone_number": "254-290-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 OMAHA BEACH ST",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101914",
            "telephone_number": "254-290-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAZARIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "000040546093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weed Army Community Hospital
• Weed Army Community Hospital Ft Irwin USA Meddac, P.O. Box 105109,Fort
• Lawrence Michael Wesgaites III, LCSWA, LCDCI
• Gary Andrew Wheeler, M.D.
• Erin Wilkinson, PSY.D
• Adia Williamson
• Sarah Marie Williar, LPCC
• Doris Marie Wolfe-Bohannon, RN
• Kathryn Elaine Wright, L.V.N
• Alan Yam, DMD

• Certified Registered Nurse Anesthetist in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.