Leslie Simone Williams, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013451 Issued in IL

Practice address

14308 Minerva Ave
Dolton, IL 60419-1343

Phone

(708) 953-5192

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By the provider in NPPES

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

Enrolled in IL, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, IL

  Medicare reassignment NPD
• Nurturecare Health LLC

  • Primary Care Nurse Practitioner
  • Dolton, IL
  • NPI 1871084467
  Authorized official Same address or phone

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1487026134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14308 MINERVA AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191343",
            "telephone_number": "708-953-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14308 MINERVA AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191343",
            "telephone_number": "708-953-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESLIE",
        "middle_name": "SIMONE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda C White, MSPT
• Serita Whitehorn
• Aequlia Williams
• Isac Williams
• Jean Williams, MPH, MSN
• Paris Williams
• Rhonda D Williams, COTA
• Samysha Williams
• Sonia Wilson
• Rochelle Wooden, LPN

• Family Nurse Practitioner in Dolton, IL
• Providers in Dolton, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.