Stacy Williams, CP

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

W3X4L3J9 Issued in MO

Practice address

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931

Phone

(314) 215-7453

NPI assigned

Apr 17, 2025

Sex

Female

Sole proprietor

Yes

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1528854460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 BONHOMME AVE STE 1800",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051931",
            "telephone_number": "314-215-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 BONHOMME AVE STE 1800",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051931",
            "telephone_number": "314-215-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACY",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MO",
            "license": "W3X4L3J9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Wilhite
• Bethany Dawn Willhite, PT
• Derrick Williams
• Frederick Anthony Williams Jr., LPC
• Peyton Williams
• Takeira Williams, RN
• Willow Creek Counseling LLC
• Austin Wilmot, M.S.W., L.C.S.W.
• Mary Wissmann, MS, RD, LD
• Lynn Wolfe, LPC

• Phlebotomy Technician in Clayton, MO
• Providers in Clayton, MO by specialty
• Phlebotomy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.