Jacklynn Williams

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2020005860 Issued in MO

Practice address

3531 N Range Line Rd
Joplin, MO 64801-9778

Phone

(417) 680-0550

NPI assigned

May 21, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578186854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "DREXEL",
            "state": "MO",
            "postal_code": "647420342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 N RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019778",
            "telephone_number": "417-680-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACKLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1703688",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020005860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jwilliams@kkidsusa.com",
            "affiliation": "Y",
            "affiliationName": "Student Progress LLC",
            "address_1": "3531 N Range Line Rd",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648019778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Williams, OTR/L
• Allie M Williams, RN, MSN, CFNP
• Brandon Heath Williams, DDS
• Cassandra Lee Williams, M.S., CF-SLP
• Elle Reese Williams
• John K Williams, MD
• Katherine M Williams, FNP-C
• Kelly Kay Williams, L.P.C.
• Kristina Jill Williams, DNP, ACNP-BC
• Miles J Williams

• Occupational Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.