Tracy Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043088407 Issued in IL

Practice address

6125 S Kenwood Ave
Chicago, IL 60637-2818

Phone

(773) 752-6000

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1811356587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372818",
            "telephone_number": "773-752-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372818",
            "telephone_number": "773-752-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043088407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ip@parkshoreestates.com",
            "affiliation": "N",
            "endpointDescription": "ip@parkshoreestates.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Vacciine Status",
            "address_1": "6125 S Kenwood Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606372818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Sean Williams, DC
• Tierra Williams
• Tiffany Williams
• Timothy Alan Williams Jr., MD
• Traci Williams, PHARMD
• Tranette Williams, L.M.T.
• Trenika J Williams, MD, MS
• Trey Dejuan Williams, MD
• Valencia Williams, PSY.D.
• Valeria L. Williams, NP

• Licensed Practical Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.