Active NPI
Eileen Yvette Williams, BSN, RN, NCSN
- Registered Nurse
- Starkville, MS
National Provider Identifier
1629436274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R793333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R793333 | MS | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- School Registered Nurse
- Starkville, MS
- NPI 1801266002
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.