Courtney R Williams

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

20380286 Issued in TX

Practice address

12420 Tyler Springs LN
Humble, TX 77346-2995

Phone

(713) 705-5916

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By 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

State licenses

Practice roles

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

• Medigistics Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Spring, TX
  • NPI 1851825772
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1548640022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1863",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773471863",
            "telephone_number": "713-705-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 TYLER SPRINGS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462995",
            "telephone_number": "713-705-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COURTNEY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "20380286",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "20380286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Tesa Williams-Spencer, LMSW
• Alecia Y Williams, D.P.M.
• Amanda Rae Williams
• Anthony Charles Williams Sr.
• Brittney Meryl Williams, MD
• Daidra L Williams
• Destiny Williams, M.S.,CF-SLP
• Diamonds' Williams, MASTERS
• Jerald Williams
• Jerrod Williams, PHARM.D.

• Private Vehicle in Humble, TX
• Providers in Humble, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.