Alisa Williams, RN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041261299 Issued in IL

Practice address

20 Edwardsville Prof Park Ste B
Edwardsville, IL 62025-3602

Phone

(618) 406-6372

Fax

(618) 212-8082

NPI assigned

May 24, 2016

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1629425285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 NIGGLI RD",
            "city": "ALHAMBRA",
            "state": "IL",
            "postal_code": "620012609",
            "telephone_number": "618-406-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EDWARDSVILLE PROF PARK STE B",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253602",
            "telephone_number": "618-406-6372",
            "fax_number": "618-212-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALISA",
        "name_prefix": "Mrs.",
        "credential": "RN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041261299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Whitley, BSW
• Miranda Wilhelm, PHARM.D.
• James Christopher Wilhite, ATC
• Shelby Renee Willen, RN
• William G Bonzelet MD, SC
• Brianna Williams
• Charles Williams, DMD
• Dylan Stephan Williams, RN
• Kirstie Ali Williams
• Wilson Standard Wellness

• Lactation Consultant (Registered Nurse) in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.