Lavida Williams

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

117569 Issued in TX

Practice address

503 W Ocean Blvd
Los Fresnos, TX 78566-3635

Phone

(956) 943-9600

NPI assigned

Mar 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Little Lighthouse Childrens Rehab

  dba Little Lighthouse Children's Rehab, LLC

  • Rehabilitation Clinic/Center
  • Alice, TX
  • NPI 1811260193
  NPD (past)
• Little Lighthouse Childrens Rehab

  • Rehabilitation Clinic/Center
  • Los Fresnos, TX
  • NPI 1942398151
  NPD (past)

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1992167845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E JEFFERSON ST",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784212",
            "telephone_number": "361-903-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663635",
            "telephone_number": "956-943-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAVIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W2Ez PLLC Dba Medcare Occupational Helath
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2765)
• Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-2765)
• Lindy Weidert, RDCS
• Whistle Stop Children's Rehabilitation Center L L P
• Betina Rachelle Zamora
• Venessa Zepeda, M.ED., CSC, LPC

• Occupational Therapist in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.