Shundella Keara Williams

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336103 Issued in NY

Practice address

191 Union St N Lowr
Rochester, NY 14605-2640

Phone

(585) 993-2721

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1518516301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 UNION ST N LOWR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052640",
            "telephone_number": "585-993-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 UNION ST N LOWR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052640",
            "telephone_number": "585-993-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHUNDELLA",
        "middle_name": "KEARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Williams, LPN
• Sandra Jean Williams, PA
• Sean A Williams, M.D.
• Shanetta S Williams
• Shawn Marie Williams, C PED
• Sofia N Williams
• Ta Via Williams, LPN
• Tania K Williams, OTR/L
• Tashae Williams, LMHC
• Tenessa Williams, L.P.N.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.