Caitlin M Williams, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2019023420 Issued in MO

Practice address

1260 S Pike Avenue
Bolivar, MO 65613

Phone

(417) 328-1796

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1932754744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E SAINT LOUIS ST APT 1132",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062669",
            "telephone_number": "217-871-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PIKE AVENUE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-328-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2019023420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Wharton, LPC
• Sno White-Benson, RPH, PHARM D.
• Kelley White
• Whole and Balanced Therapy Services, LLC
• Emily L Wickersham, DO
• Danielle Elise Williams, OTR
• Christopher D Willis, DO
• Charles Jay Wilson, MA, LPC
• Kayla Ruth Windes
• Jacob Witt, PHARMD

• Athletic Trainer in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.