Nicole Shuntay Williams, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

342246 Issued in TX

Practice address

33003 Battalion Ave
Fort Hood, TX 76544

Phone

(254) 618-8782

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1679140743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 BROOKVIEW DR APT B",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222370",
            "telephone_number": "254-371-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33003 BATTALION AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-618-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "SHUNTAY",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "342246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole.s.williams35.civ@mail.mil",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33003 Battalion Ave",
            "city": "Fort Hood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William B. Purcell O.D.
• Kristin Williams-Washington, PSY.D.
• Corey Antonio Williams, LCSW
• Croshawnda Aleshia Williams, RN
• Crystal Williams, RDA
• Ricki Williams, CNA
• Stephanie Williams, LCSW
• Stephanie Cecanti Williams, LICENSE VOCATIONAL N
• Tammie Williams
• Teisha Machele Williams, RN

• Licensed Vocational Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.