Active NPI
Isleah Quiarra Williams
- Nurse's Aide
- Southfield, MI
National Provider Identifier
1649563107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 230015057410710
- Practice address
- 23300 Providence Dr
Apt 215
Southfield, MI 48075-3652 - Phone
- (313) 704-6189
- NPI assigned
- May 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 230015057410710 | MI | Primary |
Addresses
Primary practice location
23300 Providence Dr
Apt 215
Southfield, MI 48075-3652
Mailing address
23300 Providence Dr
Apt 215
Southfield, MI 48075-3652
Phone (313) 704-6189
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230015057410710 | MI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1649563107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23300 PROVIDENCE DR",
"address_2": "APT 215",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753652",
"telephone_number": "313-704-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23300 PROVIDENCE DR",
"address_2": "APT 215",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753652",
"telephone_number": "313-704-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ISLEAH",
"middle_name": "QUIARRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MI",
"license": "230015057410710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.