Active NPI
Lanece Evette Williams, OTR
- Occupational Therapist
- Canton, OH
National Provider Identifier
1962695312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04685
- Practice address
- 2714 13TH St NW
Canton, OH 44708-3121 - Phone
- (330) 456-2842
- Fax
- (330) 456-5343
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04685 | OH | Primary |
Addresses
Primary practice location
2714 13TH St NW
Canton, OH 44708-3121
Mailing address
369 Kaylynn St SE
Massillon, OH 44646-7055
Phone (330) 832-6018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04685 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1962695312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 KAYLYNN ST SE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446467055",
"telephone_number": "330-832-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 13TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447083121",
"telephone_number": "330-456-2842",
"fax_number": "330-456-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LANECE",
"middle_name": "EVETTE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "04685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.