Jalis Latoy Williams

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CNA1000039520 Issued in AZ

Practice address

10307 W Denton LN
Glendale, AZ 85307-4255

Phone

(480) 886-8733

NPI assigned

Feb 18, 2020

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1841823903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10307 W DENTON LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853074255",
            "telephone_number": "480-886-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 W DENTON LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853074255",
            "telephone_number": "480-886-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JALIS",
        "middle_name": "LATOY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "CNA1000039520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H. Frost,D.D.S., P.C.
• Courtney Williams, RN
• Daryl Williams
• Elizabeth Williams, LAC
• Elizabeth Kate Williams
• Janae Lee Williams, PT
• Jolene Williams
• Julienne Williams
• Kelly Williams
• Lauren Keely Williams, MS CCC-SLP

• Home Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.