Samiayah Latrice Williams Monroe, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3514 Issued in MS

Practice address

750 Avignon Dr Ste 4
Ridgeland, MS 39157-5157

Phone

(601) 790-7217

NPI assigned

Feb 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Samiayah Latrice Williams Professional name

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": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1730452350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 BELLE OAK PARK",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390427030",
            "telephone_number": "769-218-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 AVIGNON DR STE 4",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575157",
            "telephone_number": "601-790-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Lower Woodville Rd",
            "address_2": "K 186",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "391204453",
            "country_code": "US",
            "telephone_number": "769-218-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS MONROE",
        "first_name": "SAMIAYAH",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6135",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIAYAH",
            "last_name": "WILLIAMS",
            "middle_name": "LATRICE",
            "prefix": "MS.",
            "credential": "M.S.,CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ronald Whittington, D.P.C.
• William R. Whitwell Jr., PHARM.D.
• Kaitlyn Rylee Wiggins
• Dana M Wikle, MPT
• Joanna Dawn Wilborn, PTA
• Alexandria Williams
• Amanda Williams, MOTR/L
• Andrew G Williams
• Bridgette M Williams, CCC-SLP
• Brockman Chase Williams, LPTA

• Speech-Language Pathologist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.