Active NPI
Ravn Williams
- Personal Care Attendant
- St Francis, WI
National Provider Identifier
1497315204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3532 E Tesch Ave
St Francis, WI 53235-4863 - Phone
- (262) 899-9261
- NPI assigned
- Jun 14, 2019
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3532 E Tesch Ave
St Francis, WI 53235-4863
Mailing address
3532 E Tesch Ave
St Francis, WI 53235-4863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100087198 | Medicaid | WI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Home Health | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1497315204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3532 E TESCH AVE",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532354863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3532 E TESCH AVE",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532354863",
"telephone_number": "262-899-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RAVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100087198",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.