Ebony Monique Williams, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CN0014180730 Issued in GA

Practice address

1714 Crossings Dr
Lithia Springs, GA 30122-3933

Phone

(404) 734-6913

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1992085096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 NORTH RIDGEBROOK DRIVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29420",
            "telephone_number": "404-734-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 CROSSINGS DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223933",
            "telephone_number": "404-734-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EBONY",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN0014180730",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cayresten Williams
• Misheae Athea Wilson
• Sarah Elizabeth Wishon, PA-C, MMSC
• Wyatt'S RX LLC
• Jacqueline Wynter, OTR/L
• Earl Y Young, MD

• Home Health Aide in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.