Whitney Shannon Williams, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002159 Issued in MI

Practice address

611 E Porter St
Albion, MI 49224-1887

Phone

(517) 629-0580

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By 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 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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1578193272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 1/2 N SUPERIOR ST APT 1",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241742",
            "telephone_number": "262-719-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E PORTER ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241887",
            "telephone_number": "517-629-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WHITNEY",
        "middle_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildcats Wellness Center
• Lori Anne Willard
• Alycia Williams, MSW
• Keena Williams
• Teatrice Williams
• Alexis Wilson-Gamble
• Sherri Winter
• Sharon Kristine Worth, LMSW
• Theresa Leah Youmans, RN
• Brianna Lynne Young

• Athletic Trainer in Albion, MI
• Providers in Albion, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.