Active NPI
Lonnekka Pritice Williams, LPN
- Licensed Practical Nurse
- Ellenwood, GA
National Provider Identifier
1982202115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN087540
- Practice address
- 3798 Catalpa LN
Ellenwood, GA 30294-1921 - Phone
- (404) 397-8916
- NPI assigned
- Oct 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PCH008638 | GA | |
| Case Manager/Care Coordinator | 171M00000X | LPN087540 | GA | |
| Case Management Agency | 251B00000X | LPN087540 | GA | |
| Home Health Agency | 251E00000X | LPN087540 | GA | |
| Community Based Hospice Care Agency | 251G00000X | LPN087540 | GA | |
| Community/Behavioral Health Agency | 251S00000X | PCH008638 | GA | |
| In Home Supportive Care Agency | 253Z00000X | LPN087540 | GA | |
| Adult Care Home Facility | 311ZA0620X | PCH008638 | GA | |
| Adult Companion | 372600000X | PCH008638 | GA | |
| Licensed Practical Nurse | 164W00000X | LPN087540 | GA | Primary |
Addresses
Primary practice location
3798 Catalpa LN
Ellenwood, GA 30294-1921
Mailing address
3798 Catalpa LN
Ellenwood, GA 30294-1921
Phone (404) 397-8916
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 |
|---|---|---|---|
| LPN087540 | GA | MD | Licensed Practical Nurse |
| PCH008638 | GA | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1982202115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3798 CATALPA LN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941921",
"telephone_number": "404-397-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3798 CATALPA LN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941921",
"telephone_number": "404-397-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LONNEKKA",
"middle_name": "PRITICE",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "PCH008638",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": "LPN087540",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": "LPN087540",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "LPN087540",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": "LPN087540",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "PCH008638",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "LPN087540",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "GA",
"license": "PCH008638",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "GA",
"license": "PCH008638",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN087540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.