Active NPI
Sharde Williams, RN
- Registered Nurse
- Clinton, MS
National Provider Identifier
1902303019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 893427
- Practice address
- 322 Highway 80 E Ste D
Clinton, MS 39056-4726 - Phone
- (601) 586-9274
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 893427 | MS | Primary |
Addresses
Primary practice location
322 Highway 80 E Ste D
Clinton, MS 39056-4726
Mailing address
1526 David Dr
Jackson, MS 39209-5711
Phone (601) 899-2012
Other practice location 1
5888 Ridgewood Rd
Jackson, MS 39211-2644
Phone (601) 586-9274
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 893427 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1902303019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 DAVID DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392095711",
"telephone_number": "601-899-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 HIGHWAY 80 E STE D",
"city": "CLINTON",
"state": "MS",
"postal_code": "390564726",
"telephone_number": "601-586-9274"
}
],
"practiceLocations": [
{
"address_1": "5888 Ridgewood Rd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392112644",
"country_code": "US",
"telephone_number": "601-586-9274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHARDE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2021-06-17",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MS",
"license": "893427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.