Tracey Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200942682RN Issued in OR

Practice address

1045 N Lake Ave
Pasadena, CA 91104-4521

Phone

(626) 794-5737

NPI assigned

Sep 7, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1730858408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044521",
            "telephone_number": "626-794-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200942682RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawndra Lynnette Williams, LCSW
• Shaneeka Williams
• Shannon Elia Williams, MFTI
• Stacey Williams
• Tiffany Dionne Williams
• Travon Williams
• Gloria Marie Williamson, REGISTERED DIETITIAN
• Latoya Michelle Williamson, LPT
• Monikeo Tek Williamson, FNP-BC
• Ruth Williamson, MD

• Registered Nurse in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.