Charlotte Carol Williams-Jackson, PCC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

207 Progress Way Ste 102
Bryant, AR 72022-8810

Phone

(501) 952-9268

NPI assigned

Jul 15, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1871331827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 WIMBLEDON LOOP",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105750",
            "telephone_number": "501-952-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PROGRESS WAY STE 102",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228810",
            "telephone_number": "501-952-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-JACKSON",
        "first_name": "CHARLOTTE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Joe White, PHARM D
• Matthew White
• Teri K. Whittaker I, OD
• Bruce E. Whitwell, PA-C
• Tina Michelle Wilder Sliger, APRN-CNP
• Becky Renna Williams, OTRL
• Dallas C Williams
• Miller Edward Williams, PT
• Trikendra Dashae Williams
• Candice Wilons, QBHP

• Health & Wellness Coach in Bryant, AR
• Providers in Bryant, AR by specialty
• Health & Wellness Coach in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.