Active NPI
Vonetta Williams
- Nurse's Aide
- Lumberton, NC
National Provider Identifier
1790486561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 413697
- Practice address
- 3054 Westminster Rd
Lumberton, NC 28360-9076 - Phone
- (910) 624-3823
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 413697 | NC | Primary |
Addresses
Primary practice location
3054 Westminster Rd
Lumberton, NC 28360-9076
Mailing address
3054 Westminster Rd
Lumberton, NC 28360-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 413697 | NC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1790486561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3054 WESTMINSTER RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283609076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3054 WESTMINSTER RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283609076",
"telephone_number": "910-624-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VONETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "413697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.