Individual provider Active NPI

Chequita Shantel Williams, MD

  • Family Medicine Physician
  • Slidell, LA
National Provider Identifier
1497714729
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024672 Issued in LA
Practice address
1150 Robert Blvd Ste 100
Slidell, LA 70458
Phone
(985) 646-1122
Fax
(888) 865-7591
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 024672 LA Primary

Addresses

Primary practice location

1150 Robert Blvd Ste 100
Slidell, LA 70458

Mailing address

1150 Robert Blvd Ste 100
Slidell, LA 70458-2005
Phone (985) 646-1122

Other identifiers 1

IdentifierTypeStateIssuer
1570834MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000416 LA Practitioner - Family Practice 7315918570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLC 2,845 clinicians

Practice addresses (Care Compare)

1051 Gause Blvd
Slidell, LA 70458-2951
Phone (985) 641-7577

Hospital & facility affiliations

  • SMH-Ochsner Home Health of Slidell Home health agency, Slidell, LA, CCN 197104
  • Elara Caring Home health agency, Hammond, LA, CCN 197778
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024672LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Slidell Memorial Hospital CurrentSince Aug 31, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 31, 2023 Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

1514 Jefferson Hwy
New Orleans, LA 70121

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

1150 Robert Blvd
Ste 100
Slidell, LA 70458
Phone (985) 646-1122

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

Interoperability endpoints

  • Direct secure messaging: cwilliams23223@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1497714729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582005",
            "telephone_number": "985-646-1122",
            "fax_number": "888-865-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-646-1122",
            "fax_number": "888-865-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHEQUITA",
        "middle_name": "SHANTEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570834",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.