Individual provider Active NPI

Eileen Yvette Williams, BSN, RN, NCSN

  • Registered Nurse
  • Starkville, MS
National Provider Identifier
1629436274
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R793333 Issued in MS
Practice address
2926 Sixteenth Section Rd
Starkville, MS 39759-4700
Phone
(662) 323-1446
Fax
(662) 324-8463
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R793333 MS Primary
School Registered Nurse 163WS0200X R793333 MS

Addresses

Primary practice location

2926 Sixteenth Section Rd
Starkville, MS 39759-4700

Mailing address

2926 Sixteenth Section Rd
Starkville, MS 39759-4700
Phone (662) 323-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R793333MSMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Oktibbeha Consolidated School District School Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1629436274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 SIXTEENTH SECTION RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594700",
            "telephone_number": "662-323-1446",
            "fax_number": "662-324-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 SIXTEENTH SECTION RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594700",
            "telephone_number": "662-323-1446",
            "fax_number": "662-324-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EILEEN",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, NCSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R793333",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R793333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.