Sidra Williams

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

6830 W Villard Ave Ste 170
Milwaukee, WI 53218-3968

Phone

(414) 397-2643

NPI assigned

Jan 20, 2022

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

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.

• SD Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1639828544
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1679225882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 W VILLARD AVE STE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183968",
            "telephone_number": "414-397-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 W VILLARD AVE STE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183968",
            "telephone_number": "414-397-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SIDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Marieenterprisesllcwi@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6830 W Villard Ave Ste 170",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532183968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaneese Love Williams, DPT
• Shanice Williams
• Shawana M Williams
• Sheleeia Williams
• Shi'Londa D Williams
• Stephen Joseph Williams Jr.
• Tasha Lindell Williams
• Tasharra Lavette Williams, MS, LPC
• Tatiana Tesia Williams
• Tatyanna Williams

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.