Organization Active NPI

Judy a. Williams

  • Licensed Practical Nurse
  • Duluth, GA
National Provider Identifier
1629125539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN069438 Issued in GA
Legal business name
JUDY A. WILLIAMS
Practice address
3024 Jester CT
Duluth, GA 30096-3892
Phone
(678) 755-0462
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judy A. Williams, LPN
Title
Liscensed Practical Nurse
Phone
(678) 755-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X LPN069438 GA Primary

Addresses

Primary practice location

3024 Jester CT
Duluth, GA 30096-3892

Mailing address

PO Box 847
Duluth, GA 30096-0016
Phone (678) 755-0462

Other names 1

  • healing hands healthcare Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629125539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960016",
            "telephone_number": "678-755-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 JESTER CT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963892",
            "telephone_number": "678-755-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY A. WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LISCENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "678-755-0462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN069438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healing hands healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

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