Jaquane Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2125 Fremont Dr
The Village, OK 73120-3802

Phone

(405) 409-5692

NPI assigned

Nov 15, 2010

Sex

Male

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

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1740581222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 FREMONT DR",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731203802",
            "telephone_number": "405-409-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 FREMONT DR",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731203802",
            "telephone_number": "405-409-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAQUANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris D Taylor Sr.
• Alexis Tompkins-Carroll, M.S., CCC-SLP
• Ugc-2, LLC
• Grant Vaden
• Wal-Mart Stores East LP
• Kristin A Williams, PHARM. D.
• Brian Kwesi Wright
• Vicky Kay Zimmerman, COTA/L

• Case Manager/Care Coordinator in The Village, OK
• Providers in The Village, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.