Angela Marie Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

2007-2289 Issued in WV

Practice address

504 Court St
Summersville, WV 26651-1416

Phone

(304) 619-4798

Fax

(304) 619-4798

NPI assigned

Mar 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Angela Marie Williams 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": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301184000000",
    "number": "1922307107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 COURT ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511416",
            "telephone_number": "304-619-4798",
            "fax_number": "304-619-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COURT ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511416",
            "telephone_number": "304-619-4798",
            "fax_number": "304-619-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": "2007-2289",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": "521370-06",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "NCTMB,,MT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Talicia Jane White, PTA
• Linda L Whittaker, LSW
• Whole Health Medical and Mental Wellness, LLC
• Sheena Lynn Willams, LPTA
• Amy Rawlings Williams, MA, CCC-SLP
• Carolyn Sue Williams
• Darlene A Williams
• Jessica Danielle Williams
• Jimmy Williams
• Quentin James Williams

• Community Health Worker in Summersville, WV
• Providers in Summersville, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; 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.