Jamie Lynn Williams, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

19948 E Calle de Flores
Queen Creek, AZ 85142-8251

Phone

(701) 340-4164

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mentis Reo, LLC.

  • Developmental Disabilities Clinic/Center
  • Gilbert, AZ
  • NPI 1609541283
  Medicare reassignment NPD
• Advanced Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1972659399
  NPD
• Az BD of Regents for on Behalf of Northern Az University

  • Primary Care Clinic/Center
  • Flagstaff, AZ
  • NPI 1891727863
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1972023281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19948 E CALLE DE FLORES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19948 E CALLE DE FLORES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428251",
            "telephone_number": "701-340-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10501",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Wilcken, MAS LAMFT
• Brie'El Wiles, DMD
• Bryanna Linda Wiley
• Williams Performance Physical Therapy LLC
• Chryselle Williams
• Dena Willmann, LPC
• Dana Willyerd
• Emily Wilson
• Nicholas Wilson
• Kelli Wiltbank, SLP-CCC

• Speech-Language Pathologist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.