Jacqueline Williams

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

9118 Tansel Creek Dr
Indianapolis, IN 46234-8859

Phone

(219) 713-2562

NPI assigned

Apr 28, 2022

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1518602226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 TANSEL CREEK DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462348859",
            "telephone_number": "219-713-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 TANSEL CREEK DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462348859",
            "telephone_number": "219-713-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honey Kate Gandionco Williams, CNP
• Jack Lawrence Williams, DDS
• Jacob Williams
• Jacob Zane Williams, MD
• Jacqueline Williams, PHD
• James Williams, PA
• James Marshall Williams, D.O.
• James Norman Williams
• Jasmine Williams
• Jazziana Williams

• Health & Wellness Coach in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health & Wellness Coach in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.