Tequilla Williams-Yarbrough

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CO0083755 Issued in GA

Practice address

392 Linwood Dr Apt 2-6
Gainesville, GA 30501-1151

Phone

(770) 533-1844

NPI assigned

Jun 2, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healingstrands Salon & More

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1386055721
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1497167977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 LINWOOD DR APT 2-6",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 LINWOOD DR APT 2-6",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011151",
            "telephone_number": "770-533-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-YARBROUGH",
        "first_name": "TEQUILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "CO0083755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wilkins, PA
• Will Family Dental Group
• Donald Roger Willers, M.D.
• William T. Jones, M.D.,PC
• Rachel D Williams-Clark, LMSW
• Angela P. Williams, R.N.
• Carolyn S Williams, APRN
• Charles Ryan Williams, MD
• Cheryl L Williams, LCSW
• Christian Williams, LMSW

• Customized Equipment (DME) in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.