Avery La-Mont Williams, REGISTERED NURSE

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

R0070988 Issued in OK

Practice address

3029 Hillside Dr
Del City, OK 73115-1847

Phone

(405) 278-1573

NPI assigned

May 3, 2007

Sex

Male

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609098979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 HILLSIDE DR",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151847",
            "telephone_number": "405-278-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 HILLSIDE DR",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151847",
            "telephone_number": "405-278-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AVERY",
        "middle_name": "LA-MONT",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "R0070988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenjest Corporation
• Jason Michael White, APRN PMHNP
• Uceta Denise White
• Alisha T Whittaker, MS
• Amber Donn Williams, LPC-C
• Ericka M Williams
• Lora Jane Williams
• Rebecca Alyne Williams, MHR, CM
• Leola Willis
• Angela F Wilson

• Addiction (Substance Use Disorder) Registered Nurse in Del City, OK
• Providers in Del City, OK by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.