Paulette Williams, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD001383 Issued in GA

Practice address

1921 Avondale CT
Locust Grove, GA 30248-7414

Phone

(404) 717-9394

Fax

(770) 742-0931

NPI assigned

Jul 14, 2016

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

Other names 1

• Paulette Scott Williams Professional name

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1487007464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 AVONDALE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487414",
            "telephone_number": "404-717-9394",
            "fax_number": "770-742-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 AVONDALE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487414",
            "telephone_number": "404-717-9394",
            "fax_number": "770-742-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAULETTE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "WILLIAMS",
            "middle_name": "SCOTT",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathryn West, FNP
• Deandra Lashay White, APRNC
• Nakia Wilkes
• Angelica Yvette Williams
• Bridgette G Williams, FNP
• Oyinlola Ajoke Winfunle, MFT
• Winlace Home Care Solutions
• Winlace Medical Supplies
• Marvet Wint, DNP
• Wish You Well Youth Faith Foundation Inc

• Registered Dietitian in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.