Organization Active NPI

Deya Williams

  • Adult Care Home Facility
  • Syracuse, NY
National Provider Identifier
1518359561
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
314670-1 Issued in NY
Legal business name
DEYA WILLIAMS
Practice address
202 Herkimer St
1
Syracuse, NY 13204-1714
Phone
(315) 200-2468
NPI assigned
Feb 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Authorized official

Name
Deya T Williams, LPN
Title
LPN
Phone
(315) 200-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 314670-1 NY Primary

Addresses

Primary practice location

202 Herkimer St
1
Syracuse, NY 13204-1714

Mailing address

202 Herkimer St
1
Syracuse, NY 13204-1714
Phone (315) 200-2468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1518359561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HERKIMER ST",
            "address_2": "1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041714",
            "telephone_number": "315-200-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HERKIMER ST",
            "address_2": "1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041714",
            "telephone_number": "315-200-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEYA WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEYA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "315-200-2468",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "314670-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.