Tekequa Williams, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5237841 Issued in FL

Practice address

4320 Commons Dr W Unit 4209
Destin, FL 32541-8656

Phone

(702) 503-2938

NPI assigned

Apr 2, 2020

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

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1922637990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 COMMONS DR W UNIT 4209",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418656",
            "telephone_number": "702-503-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 COMMONS DR W UNIT 4209",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418656",
            "telephone_number": "702-503-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TEKEQUA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "811728",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5237841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whispering Wind Emergency Physicians, LLC
• White-Wilson Medical Center, P.a. (White-Wilson Med Ctr-Destin Peds)
• Christopher J White
• Annabelle Wilcox, LDO
• William M. Escoffery (Destin Family Medicine)
• Whitney Renee Williams, LMHC
• Christopher Wilson, PA-C
• Ryan Winters, PTA
• Sarah Wiseman, LMT
• Women's Health of the Emerald Coast LLC

• Licensed Practical Nurse in Destin, FL
• Providers in Destin, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.