Joy Deliverance Williamson

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

MLS243509 Issued in IL

Practice address

3863 W Flournoy St
Apt. 1W
Chicago, IL 60624-3617

Phone

(773) 575-4512

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Body Integrity Fitness, LLC Professional name

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1881137354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606440316",
            "telephone_number": "773-575-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 W FLOURNOY ST",
            "address_2": "APT. 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606243617",
            "telephone_number": "773-575-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOY",
        "middle_name": "DELIVERANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "T72685",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "1506535",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "IL",
            "license": "MLS243509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BODY",
            "last_name": "FITNESS, LLC",
            "middle_name": "INTEGRITY",
            "credential": "MLS. CPT, CES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Jillian Williamson, M.D.
• Camille Williamson, DSW, LCSW
• Deisi Williamson
• Francesca Williamson
• Jordan A Williamson
• Laura Ann Williamson, MSN,CWON,AG-CNS-BC
• Mary Kate Williamson, MS, RD
• Melissa Jane Williamson
• Nada Williamson, CRNA
• Paula Faye Williamson, FNP

• Medical Technologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.