Active NPI
Latrica Williams
- Driver
- Memphis, TN
National Provider Identifier
1851601686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 082040331
- Practice address
- 3629 Chesterwood Dr
Memphis, TN 38118-6436 - Phone
- (901) 562-6855
- NPI assigned
- Oct 14, 2010
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 082040331 | TN | Primary |
Addresses
Primary practice location
3629 Chesterwood Dr
Memphis, TN 38118-6436
Mailing address
3629 Chesterwood Dr
Memphis, TN 38118-6436
Phone (901) 562-6855
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 |
|---|---|---|---|
| 082040331 | TN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1851601686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 CHESTERWOOD DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186436",
"telephone_number": "901-562-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 CHESTERWOOD DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186436",
"telephone_number": "901-562-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATRICA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "082040331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.