Andrew James Williamson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202041 Issued in AR

Practice address

624 Hospital Dr
Mountain Home, AR 72653-2955

Phone

(870) 508-1000

NPI assigned

May 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1871239962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LANGSTON PL",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533245",
            "telephone_number": "540-597-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15344",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilliamson@baxterregional.org",
            "affiliation": "N",
            "endpointDescription": "encrypted email address",
            "address_1": "624 Hospital Dr",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April L Williams
• Heather Williams
• Mark Williams, M.D.
• Randi D Williams, HIS
• Winifred Williams
• Joshua Williamson, THM, QBHP
• Amanda Marie Willis, LPC
• Sybil Willis, LCSW
• Wilson Interventional Clinic PA
• Aubrey Wilson, LCSW

• Speech-Language Pathologist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.