Individual provider Active NPI

Ashley Nicole Williams

  • Behavior Technician
  • Chandler, AZ
National Provider Identifier
1861087579
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
300 E Commonwealth Ave Apt 224
Chandler, AZ 85225-8517
Phone
(623) 200-3310
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AZ Primary

Addresses

Primary practice location

300 E Commonwealth Ave Apt 224
Chandler, AZ 85225-8517

Mailing address

300 E Commonwealth Ave Apt 224
Chandler, AZ 85225-8517
Phone (623) 200-3310

Other identifiers 2

IdentifierTypeStateIssuer
861233979MedicaidAZ
36914110MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ashareessecondchance@gmail.com Direct ASHAREES SECOND CHANCE LLC
CONNECT URL ashareessecondchance@gmail.com Health Information Exchange (HIE) Asharee's Second Chance LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1861087579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E COMMONWEALTH AVE APT 224",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258517",
            "telephone_number": "623-200-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E COMMONWEALTH AVE APT 224",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258517",
            "telephone_number": "623-200-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861233979",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36914110",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ashareessecondchance@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "ashareessecondchance@gmail.com",
            "affiliationName": "ASHAREES SECOND CHANCE LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "300 E Commonwealth Ave Apt 224, Chandler, AZ 85225",
            "address_1": "300 E Commonwealth Ave Apt 224",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852258517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashareessecondchance@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "ashareessecondchance@gmail.com",
            "affiliationName": "Asharee's Second Chance LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ashareessecondchance@gmail.com",
            "address_1": "300 E Commonwealth Ave Apt 224",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852258517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.