Active NPI
Nicole Townley Williams, MA, CCC-SLP
- Speech-Language Pathologist
- Saint Amant, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5376
- Practice address
- 12018 Coueron Dr
Saint Amant, LA 70774-3565 - Phone
- (225) 937-8605
- NPI assigned
- Apr 11, 2010
- Last updated
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5376 | LA | Primary |
Addresses
Primary practice location
12018 Coueron Dr
Saint Amant, LA 70774-3565
Mailing address
2110 Pine St
Winnsboro, LA 71295-3236
Phone (225) 937-8605
Other practice location 1
2110 Pine St
Winnsboro, LA 71295-3236
Phone (225) 937-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12018 Coueron Dr
Saint Amant, LA 70774-3565
Phone (225) 269-9971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation Services, LLC | Current | Accepting new patients | |
| Louisiana Voice and Swallow Solutions | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2251 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-0290
2255 S Burnside Ave
Gonzales, LA 70737
Phone (225) 269-9971
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Gonzales, LA
- NPI 1124622592
-
- Physical Therapist
- Gonzales, LA
- NPI 1093088098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1578889952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 PINE ST",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712953236",
"telephone_number": "225-937-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12018 COUERON DR",
"city": "SAINT AMANT",
"state": "LA",
"postal_code": "707743565",
"telephone_number": "225-937-8605"
}
],
"practiceLocations": [
{
"address_1": "2110 Pine St",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "LA",
"postal_code": "712953236",
"country_code": "US",
"telephone_number": "225-937-8605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NICOLE",
"middle_name": "TOWNLEY",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Amant, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.