Jasmine Renee Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5055 Harbour Lake Dr Apt 2F
Goose Creek, SC 29445-5907

Phone

(843) 367-4753

NPI assigned

Apr 18, 2022

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

Electronic endpoints 1

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1780327700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 HARBOUR LAKE DR APT 2F",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455907",
            "telephone_number": "843-367-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 HARBOUR LAKE DR APT 2F",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455907",
            "telephone_number": "843-367-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMINE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "121East5THNorthStreetSummervilleSC29483",
            "affiliation": "N",
            "endpointDescription": "ABA SERVICES",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Goose Creek",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5055 Harbour Lake Dr Apt 2F",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294455907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sylvia Anderson Whiting, PHD APRNBC
• Richard Buck Whitmire, RPH
• Renee Wicks, DR.
• Joni Wiggins, LPC, M.A.
• Jacqueline Williams
• Thomas Bradley Williams, DMD
• O'Stacia Williamson
• Janice Willis, RPH
• Cilantay R Wilson, APRN
• Jacob F Wilson, RBT

• Behavior Technician in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.