Active NPI
Heather Lauren Williams
- Occupational Therapist
- Gulfport, MS
National Provider Identifier
1669735379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 15190 Community Rd Ste 120
Gulfport, MS 39503 - Phone
- (228) 831-0416
- NPI assigned
- Jun 18, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MS | Primary |
Addresses
Primary practice location
15190 Community Rd Ste 120
Gulfport, MS 39503
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other practice location 1
4109 Highway 98 W
Summit, MS 39666-9132
Phone (601) 276-3900
Other practice location 2
4109 Highway 98 W
Summit, MS 39666-9132
Phone (601) 276-3900
Other practice location 3
1800 Beach Dr
Gulfport, MS 39507-1553
Phone (228) 897-4452
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1669735379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 200",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-350-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD STE 120",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39503",
"telephone_number": "228-831-0416"
}
],
"practiceLocations": [
{
"address_1": "4109 Highway 98 W",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "MS",
"postal_code": "396669132",
"country_code": "US",
"telephone_number": "601-276-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4109 Highway 98 W",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "MS",
"postal_code": "396669132",
"country_code": "US",
"telephone_number": "601-276-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Beach Dr",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395071553",
"country_code": "US",
"telephone_number": "228-897-4452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HEATHER",
"middle_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.