La Wanda Demetria Williams

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

50 Northtown Dr Apt 7a
Jackson, MS 39211-3076

Phone

(769) 798-6689

NPI assigned

Apr 17, 2021

Last updated

Apr 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Chess Professional Care Services, LLC

  • Home Health Agency
  • Jackson, MS
  • NPI 1497338180
  NPD Authorized official

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1689255044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTHTOWN DR APT 7A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113076",
            "telephone_number": "769-798-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTHTOWN DR APT 7A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113076",
            "telephone_number": "769-798-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LA WANDA",
        "middle_name": "DEMETRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalecia Williams, BSN RN
• Kara Leigh Williams, CPSS
• Kasia Williams
• Kawaski S Williams
• Kristen Ruth Williams, LPC
• Ladonna Rochelle Williams, RPT
• Latoya Williams
• Leann Royal Williams, RPH
• Leo Williams III, LCSW
• Leonette Williams, FNP

• Home Health Aide in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.