Ebony Williams, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

34305286121 Issued in NY

Practice address

745 Gates Ave
2D
Brooklyn, NY 11221-1766

Phone

(917) 995-6174

NPI assigned

Sep 20, 2011

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1790068484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GATES AVE",
            "address_2": "2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 GATES AVE",
            "address_2": "2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211766",
            "telephone_number": "917-995-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EBONY",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NY",
            "license": "34305286121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Martin Williams, LMSW
• Dolores V. Williams, BSPT
• Donnette Alexia Williams, OTR/L
• Dorett Williams, RN
• Drucilla L Williams, LCSW
• Edward J Williams, LMSW
• Elisha Williams
• Elite Ashanti Williams, LPN
• Elizabeth Harper Williams, LMSW
• Elizabeth K Williams

• All providers in Brooklyn, NY
• Nurse's Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.