Sally Ann Williams Hickman, RN, CS-FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2004029904 Issued in MO

Practice address

1100 N Kentucky Ave
West Plains, MO 65775-2029

Phone

(417) 256-9111

Fax

(417) 255-9732

NPI assigned

May 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1851345144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 KENTUCKY AENUE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-256-9111",
            "fax_number": "417-255-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-9111",
            "fax_number": "417-255-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS HICKMAN",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, CS-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2004029904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599022307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427376405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599022308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Gaye Wilbanks, LPC
• Brett Wilcox
• Jennifer Wilkins, RASAC I
• Timothy Wilkins
• Karen Marie Will, MS, RSAP
• Celeste Hope Williams, APRN
• Laura Lynn Williams, FNP-C
• Lisa Michelle Williams
• Rodney Jay Williams, M.D.
• Stephen Timmothy Williams

• Nurse Practitioner in West Plains, MO
• Providers in West Plains, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.