Jimmie Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

35341 Issued in SC

Practice address

1109 Links Rd
Myrtle Beach, SC 29575-5879

Phone

(843) 333-1802

Fax

(843) 293-0737

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1740609189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LINKS RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755879",
            "telephone_number": "843-333-1802",
            "fax_number": "843-293-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LINKS RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755879",
            "telephone_number": "843-333-1802",
            "fax_number": "843-293-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JIMMIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "35341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jon Willey, PHARMACIST
• Brittney Lynn Williams, LCSW
• Dara Ann Williams, PH.D.
• David M Williams III, MD
• Ericka Haselden Williams, FNP-C
• Keeland Williams, MD
• Luther Rawls Williams Jr., M.D.
• Mary Alyce Williams, MS, CCC, SLP
• Michael Charles Williams, RD
• Michele Williams, OTR/L

• Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.