Individual provider Active NPI

Nancy L Williams, CCC-SLP

  • Speech-Language Pathologist
  • Dyer Brook, ME
National Provider Identifier
1982957544
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2184SP Issued in ME
Practice address
922 Dyerbrook Rd
Southern Aroostook Community School Rsu 50
Dyerbrook, ME 04747
Phone
(617) 233-7035
NPI assigned
Oct 19, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2184SP ME Primary

Addresses

Primary practice location

922 Dyerbrook Rd
Southern Aroostook Community School Rsu 50
Dyerbrook, ME 04747

Mailing address

922 Dyerbrook Rd
Southern Aroostook Community School Rsu 50
Dyerbrook, ME 04747
Phone (207) 653-1435

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
2184SPMEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1982957544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 DYERBROOK RD",
            "address_2": "SOUTHERN AROOSTOOK COMMUNITY SCHOOL RSU 50",
            "city": "DYERBROOK",
            "state": "ME",
            "postal_code": "04747",
            "telephone_number": "207-653-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 DYERBROOK RD",
            "address_2": "SOUTHERN AROOSTOOK COMMUNITY SCHOOL RSU 50",
            "city": "DYERBROOK",
            "state": "ME",
            "postal_code": "04747",
            "telephone_number": "617-233-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "2184SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer Brook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.