Todd A Williams

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

119342541 Issued in MI

Practice address

2123 Moeller Ave
Ypsilanti, MI 48198-9104

Phone

(313) 622-3780

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speak Life Identity LLC

  dba Speak Life

  • Community Health Worker
  • Ypsilanti, MI
  • NPI 1174326508
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1922822733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 MOELLER AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989104",
            "telephone_number": "313-622-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 MOELLER AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989104",
            "telephone_number": "313-622-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "119342541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Denise Williams
• Nakia Williams
• Patricia Williams
• Shanae Ramona Williams, PA-C
• Teresa Williams, D.C.
• Isaac Williamson, LMSW
• Willow Bloom Therapy, PLLC
• Danielle Wilseck, PA-C
• Joelle Marie Wilson, MD
• Kamaria Wilson, TRAINED DOULA

• Community Health Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.