Individual provider Active NPI

Ardelia Williams

  • Case Manager/Care Coordinator
  • Hampton, VA
National Provider Identifier
1982152765
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
4745795995 Issued in VA
Practice address
2019 Cunningham Dr
Hampton, VA 23666-3323
Phone
(757) 759-7386
Fax
(757) 964-7609
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 4745795995 VA Primary
Case Manager/Care Coordinator 171M00000X 0179824435 VA

Addresses

Primary practice location

2019 Cunningham Dr
Hampton, VA 23666-3323

Mailing address

47 W Queens Way Ste C
Hampton, VA 23669-4075
Phone (757) 759-7386

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

LicenseStateTypeSpecialty
0179824435VAMDCase Manager/Care Coordinator
4745795995VAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Weightonourhearts LLC Current Accepting new patients

Locations

2019 Cunningham Dr
Hampton, VA 23666
Phone (757) 759-7386

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1982152765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W QUEENS WAY STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694075",
            "telephone_number": "757-759-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 CUNNINGHAM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663323",
            "telephone_number": "757-759-7386",
            "fax_number": "757-964-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ARDELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "4745795995",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0179824435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.