Tate (Teela) Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3001 International Blvd
Oakland, CA 94601-2203

Phone

(510) 433-8600

Fax

(510) 485-7173

NPI assigned

Mar 26, 2012

Sex

Male

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

• Tate Henry Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1740556604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MAGNOLIA ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946084446",
            "telephone_number": "510-697-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012203",
            "telephone_number": "510-433-8600",
            "fax_number": "510-485-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Post Ofiice DR",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Aptos",
            "state": "CA",
            "postal_code": "95003",
            "country_code": "US",
            "telephone_number": "831-476-1747 x201",
            "fax_number": "831-685-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TATE (TEELA)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATE",
            "last_name": "WILLIAMS",
            "middle_name": "HENRY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharrise Williams
• Sheri Williams
• Tahji Williams
• Tamia Williams
• Tandeka Williams
• Tavare Williams Sr.
• Tawny Denisha Williams, RADT
• Thomas C Williams, M.D.
• Tina Lorraine Williams
• Tyler Williams, DPT

• Community Health Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.