Larae Nichole Williams, OC60901234

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60901234 Issued in WA

Practice address

1010 S 336TH St
Federal Way, WA 98003-6385

Phone

(253) 835-5769

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1932677341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19418 26TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983873415",
            "telephone_number": "253-882-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036385",
            "telephone_number": "253-835-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LARAE",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "OC60901234",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60901234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Williams, LMP
• Elah Valiette Williams, RN
• Josiah Williams
• Kathleen L. Williams, RN
• Katie Elizabeth Williams, LMP
• Laura Marie Williams, PTA
• Marissa Williams
• Nichole Frances Williams, LMHC
• Pamelia Michelle Williams, BA, CDP
• Shanelle A Williams, LMP

• Occupational Therapy Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.