Individual provider Active NPI

Shannon Marie Williams, CAREGIVER

  • Home Health Aide
  • Hoover, AL
National Provider Identifier
1992321970
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1 Chase Corporate Dr Ste 400
Hoover, AL 35244-7001
Phone
(205) 370-0804
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X AL
Home Health Aide 374U00000X AL Primary

Addresses

Primary practice location

1 Chase Corporate Dr Ste 400
Hoover, AL 35244-7001

Mailing address

5056 Parkway
Fairfield, AL 35064-2213
Phone (205) 370-0804

Other practice location 1

5056 Parkway
Fairfield, AL 35064-2213
Phone (205) 370-0804

Other names 1

  • Shannon Marie Williams Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Send Me an Angel Sitters LLC Assisted Living Facility CurrentSince Jun 1, 2020 Accepting new patients

Locations

1 Chase Corporate Dr
Ste 400
Hoover, AL 35244
Phone (205) 538-3076

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1992321970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 PARKWAY",
            "city": "FAIRFIELD",
            "state": "AL",
            "postal_code": "350642213",
            "telephone_number": "205-370-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447001",
            "telephone_number": "205-370-0804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5056 Parkway",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "AL",
            "postal_code": "350642213",
            "country_code": "US",
            "telephone_number": "205-370-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.