Individual provider Active NPI

Heather Lauren Williams

  • Occupational Therapist
  • Gulfport, MS
National Provider Identifier
1669735379
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.