Latanya Ringer Williams, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

16830 S. Broadway Street
Joliet, IL 60434

Phone

(815) 727-3607

NPI assigned

Apr 27, 2020

Last updated

Oct 15, 2021By the provider in NPPES

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

Other names 1

• La Tanya Ringer Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1821618257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 SAGE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 S. BROADWAY STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60434",
            "telephone_number": "815-727-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATANYA",
        "middle_name": "RINGER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA TANYA",
            "last_name": "WILLIAMS",
            "middle_name": "RINGER",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Will-Grundy Medical Clinic, Inc (Will Grundy Medical Clinic, LTD)
• Athena Williams
• Erika Lajoyce Williams, PTA
• Kenneth Williams
• Kristina April Williams, LCSW
• Sharron Williams, MSN, RN, PMHNP
• Thomas Williamson, COTA
• Willow Ridge Services, Inc
• Kylie Wilson
• Kristy Wingerter, FNP

• Physician Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.