Ebony Williams

Primary specialty

ContractorTaxonomy code 171W00000X

License

18782 Issued in FL

Practice address

918 Tyler St
Jacksonville, FL 32209-7623

Phone

(904) 662-6612

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• In Loving Hands Home Care

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1992119952
  NPD (past) Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1700298247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 TYLER ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322097623",
            "telephone_number": "904-619-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 TYLER ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322097623",
            "telephone_number": "904-662-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "18782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denara Williams, BCBA
• Diamond Tiara Williams, LMHC
• Donna Williams, LMHC
• Dustyn Salsbury Williams, M.A., L.M.H.C.
• Earnestine Williams
• Elizabeth Marie Williams, RPH
• Ellen Williams, PH.D.
• Emem Williams
• Erica C Williams
• Erica Yvonne Williams, OT

• Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.