Latasha Nicole Williams

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5013173 Issued in NC

Practice address

104 Huffman Mill Rd
Burlington, NC 27215-5113

Phone

(843) 538-6240

NPI assigned

Feb 12, 2019

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

Medicare fee-for-service enrollment

Enrolled in SC, GA, NC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mediq Urgent Care PC

  dba MEDIQ Urgent Care

  • Urgent Care Clinic/Center
  • Greensboro, NC
  • NPI 1912381203
  Medicare reassignment NPD
• Lowcountry Urgent Care LLC

  dba Lowcountry Urgent Care

  • Primary Care Nurse Practitioner
  • Beaufort, SC
  • NPI 1326364100
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, NC

  Medicare reassignment
• Mediq Urgent Care PC

  dba MEDIQ Urgent Care

  • Urgent Care Clinic/Center
  • Archdale, NC
  • NPI 1255906988
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133
  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1669938999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W HARGETT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011700",
            "telephone_number": "919-532-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HUFFMAN MILL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155113",
            "telephone_number": "843-538-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATASHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN200792",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Williams, PHD
• Ashton Williams, OTR/L
• Elizabeth Ashley Williams, LPN
• Jonathan E Williams, M.D.
• Kenneth Bryan Williams, LCMHCA
• Leslie Shepherd Williams
• Lisa Marie Williams, LPCA
• Margaret Larsh Williams, LCSW
• Melissa Elspeth Williams, PHARM D
• Monica Harvey Williams, MSW

• Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.