Syreeta Williams

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

16690 Dallas Parkway
Suite 208
Dallas, TX 75248

Phone

(682) 307-0037

NPI assigned

Apr 3, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pink Vanity Beauty Bar LLC

  • Point of Service
  • Dallas, TX
  • NPI 1912561952
  NPD (past) Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1538621024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16990 DALLAS PKWY STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481935",
            "telephone_number": "972-707-0708",
            "fax_number": "972-637-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16690 DALLAS PARKWAY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "682-307-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SYREETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SYREETA.WILLIAMS@OUTLOOK.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16990 Dallas Pkwy Ste 208",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752481935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Williams, OPTICIAN
• Stormee Williams, MD
• Sue Williams, MD
• Summer Williams, CSFA
• Susie Williams
• Tamrasha Williams, M.D.
• Tanya Jophael Williams, DDS
• Tashanee Williams
• Tasheon Williams, RPH
• Thalissa Williams

• Prosthetics Case Management in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthetics Case Management in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.