Nicole Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004753 Issued in CT

Practice address

1268 Main St
Newington, CT 06111-3038

Phone

(860) 200-7450

NPI assigned

Jul 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

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1740535905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282765",
            "telephone_number": "413-525-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-200-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Maple St",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010282765",
            "country_code": "US",
            "telephone_number": "413-525-6361",
            "fax_number": "413-525-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004753",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Wiernasz, PT
• Emily Marton Wiezalis, APRN
• Christopher Willette, L.O.
• Kathrine Williams, LO
• Marlene Williams, PT
• Melissa Wilson, PHARMD
• David Wogelius, R.PH.
• Karen Wojcik, PT
• Kyle Wolf, DPT
• Maureen Marie Worley, APRN

• Speech-Language Pathologist in Newington, CT
• Providers in Newington, CT by specialty
• Speech-Language Pathologist in Connecticut

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