Active NPI
Timothy Roger Williamson
- Transportation Broker
- Nacogdoches, TX
National Provider Identifier
1881370351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 25790264
- Practice address
- 2509 Tanglewood Cir
Nacogdoches, TX 75961-4651 - Phone
- (936) 363-9498
- NPI assigned
- Jun 27, 2023
- Last updated
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 25790264 | TX | Primary |
| Driver | 172A00000X | 25790264 | TX |
Addresses
Primary practice location
2509 Tanglewood Cir
Nacogdoches, TX 75961-4651
Mailing address
2509 Tanglewood Cir
Nacogdoches, TX 75961-4651
Phone (936) 363-9498
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 |
|---|---|---|---|
| 25790264 | TX | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1881370351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 TANGLEWOOD CIR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614651",
"telephone_number": "936-363-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 TANGLEWOOD CIR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614651",
"telephone_number": "936-363-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "TIMOTHY",
"middle_name": "ROGER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "TX",
"license": "25790264",
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TX",
"license": "25790264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
- Bailey Williams, MAT, LAT, ATC
- Brianna Williams
- Ciara Williams, FNP-C
- Joseph Donald Williams, PHARM.D.
- Leslie Ann Williams, NP
- Cheryl Busbice Wilson, L.C.S.W.
- Jerry Clyde Wilson, M.S., L.P.C.
- Joni M Wilson
- Melanie Lynn Wilson, RN, CNM
- Winnie-Stowell Hospital District (Stallings Court Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.