Shannon T Williams

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

312878 Issued in NY

Practice address

1493 Gaston St
Wantagh, NY 11793-3054

Phone

(516) 813-7449

NPI assigned

Jun 26, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1508782194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 GASTON ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933054",
            "telephone_number": "516-813-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 GASTON ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933054",
            "telephone_number": "516-813-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312878",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "750672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Telehealth Care Medical PLLC
• Wellness Worx Incorporated (Wellness Worx Pharmacy)
• Brian Hantz West, LMHC
• Beth Widzowski, LCSW
• Edward Scott Wile, PSY.D.
• Tenneil Williams, BA
• Kristina Williamson
• Carrie Wind, SLP
• Erin Grace Wirth
• Wise Mind Psychological Services P.L.L.C.

• Adult Health Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.