Sandra Kay Williams, APRN BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN139215 Issued in AZ

Practice address

Mohave Mental Health Clinic Inc
1145 Marina Blvd
Bullhead City, AZ 86442

Phone

(928) 758-5905

Fax

(928) 757-3256

NPI assigned

Nov 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Advanced Psychiatric Services

  • Psychiatry Physician
  • Sullivan, MO
  • NPI 1457303877
  NPD (past)
• Advanced Psychiatric Services Inc

  • Psychiatry Physician
  • Festus, MO
  • NPI 1154372464
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659444909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOHAVE MENTAL HEALTH CLINIC INC",
            "address_2": "1743 SYCAMORE AVE",
            "city": "KINSMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-8111",
            "fax_number": "928-757-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOHAVE MENTAL HEALTH CLINIC INC",
            "address_2": "1145 MARINA BLVD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-758-5905",
            "fax_number": "928-757-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN139215",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP2441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF NURSING",
            "identifier": "AP2441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark William White, DDS
• Kathleen Louise Whitehead, LPC
• Wide Open MRI of Bullhead City LLC
• Wild West Kids Dental Bullhead (Kids Little Smiles)
• Melanie Sue Wilden, RPH
• Willmore Wellness Center LLC
• Kevin K Willmore, D.P.T.
• Wings of an Angel in-Home Care LLC
• David Wolf
• Richard A. Wolf, M.D.

• Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.