Individual provider Active NPI

Taylor Danielle Williams

  • Peer Specialist
  • Tulsa, OK
National Provider Identifier
1508680299
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
2029 S Sheridan Rd
Tulsa, OK 74112-7309
Phone
(918) 587-9471
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 322264 OK
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

2029 S Sheridan Rd
Tulsa, OK 74112-7309

Mailing address

4717 S Mingo Rd Ste D
Tulsa, OK 74146-4759
Phone (918) 727-5254

Other practice location 1

4717 S Mingo Rd Ste D
Tulsa, OK 74146-4759
Phone (918) 727-5254

Other practice location 2

4717 S Mingo Rd Ste D
Tulsa, OK 74146-4759
Phone (918) 727-5254

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1508680299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 S MINGO RD STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741464759",
            "telephone_number": "918-727-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741127309",
            "telephone_number": "918-587-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 S Mingo Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741464759",
            "country_code": "US",
            "telephone_number": "918-727-5254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4717 S Mingo Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741464759",
            "country_code": "US",
            "telephone_number": "918-727-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAYLOR",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "322264",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.