Jakia Williams

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338827 Issued in NY

Practice address

40 Park Hill Ave
Staten Island, NY 10304-3611

Phone

(347) 717-7777

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1659941409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK HILL AVE # R",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK HILL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043611",
            "telephone_number": "347-717-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAKIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinequia Tyann Williams, MSW
• Christopher Williams, OPTICIAN
• Courtney Williams, OT
• Deborah Williams, LMT
• Delphia Yvette Williams, LCSW
• John Daniel Williams, OPHTHALMI DISPENSARY
• Joseph James Williams, LMHC
• Kasmone Williams, CAT-LP
• Kathleen Williams, R.N.
• Kiyanna Williams, LMSW

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.