Shirlene Demetra Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN049721 Issued in GA

Practice address

2545 Sandra Dr
Augusta, GA 30906-2843

Phone

(706) 792-0880

NPI assigned

Mar 29, 2008

Last updated

Mar 29, 2008By 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

State licenses

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1760654826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 SANDRA DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SANDRA DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062843",
            "telephone_number": "706-792-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHIRLENE",
        "middle_name": "DEMETRA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN049721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semone Williams, IBCLC
• Serian Williams, DPT
• Shaniya Latrice Williams, NP-C
• Shawana Monique Williams
• Shawanna Lynette Williams
• Sylvia Roberta Williams, R.N.
• Takeyla Nicole Williams, MD
• Tonia Williams, R.N.
• Tyjuan Marcquell Williams, DMD
• Virginia Hooks Williams, PMHNP

• Licensed Practical Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.