Active NPI
Destinee Williams
- Specialist
- Alpharetta, GA
National Provider Identifier
1497407555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1655 Mansell Rd Ste 154
Alpharetta, GA 30009-4901 - Phone
- (678) 292-8346
- NPI assigned
- Jan 20, 2022
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1655 Mansell Rd Ste 154
Alpharetta, GA 30009-4901
Mailing address
1752 Penny LN
Lawrenceville, GA 30043-3552
Phone (678) 292-8346
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.bodybabie.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1497407555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 PENNY LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433552",
"telephone_number": "678-292-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 MANSELL RD STE 154",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094901",
"telephone_number": "678-292-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DESTINEE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.bodybabie.com",
"affiliation": "N",
"address_1": "1655 Mansell Rd Ste 154",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300094901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.