Shamica N Williams, CNA

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

CNA267173 Issued in FL

Practice address

503 Jean St Apt 3
Daytona Beach, FL 32114-4673

Phone

(386) 675-3365

NPI assigned

Apr 12, 2021

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1568042646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 JEAN ST APT 3",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144673",
            "telephone_number": "386-675-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JEAN ST APT 3",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144673",
            "telephone_number": "386-675-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAMICA",
        "middle_name": "N",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "FL",
            "license": "CNA267173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Williams, MSW
• Mariaah Williams, M.D.
• Nicole Williams
• Pamela N Williams
• Rhonda Levette Williams
• Sheriefe Cameron Williams, CWCM
• Tanya Leshea Williams, DOCTOR OF PHARMACY
• Taylor Williams
• Telecia L Willis
• Alice R Wilson-Edwards

• Clinical Nurse Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.