Jordyn Ryah Williams, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT006334 Issued in OH

Practice address

1498 Nancywood Dr Apt 1
Waterford, MI 48327-2064

Phone

(412) 498-3132

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1780143172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 NANCYWOOD DR APT 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272064",
            "telephone_number": "412-498-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 NANCYWOOD DR APT 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272064",
            "telephone_number": "412-498-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDYN",
        "middle_name": "RYAH",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne G Wilde, O.D.
• Joyce Jonekait Wilkerson, LMSW
• William Scott Ward DDS
• Cheyenna Williams
• Daniel Williams, BA SOCIOLOGY, CHW
• Kayla Le'Ann Faith Williams
• Stacey Marie Williams, LPC
• Tammy Faye Williams, P.T.A.
• Tifani Williams, MA
• Toni Williams

• All providers in Waterford, MI
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.