Tera Kenyetta Williams

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0028886482 Issued in GA

Practice address

705 Juniper St NE
Atlanta, GA 30308-1307

Phone

(404) 953-0982

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1992374508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 CLEARWATER DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281599",
            "telephone_number": "404-953-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 JUNIPER ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081307",
            "telephone_number": "404-953-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERA",
        "middle_name": "KENYETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0028886482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Williams, BCABA
• Suzanne Williams, NP
• Taneika Dashea Williams
• Tashayla Keandra Williams
• Taylor R Williams, MD
• Thorna-Lee Williams
• Tiera Williams
• Tijuana Michelle Ponder Williams
• Toy Vishun Williams
• Traci Williams, PSYD

• Nurse's Aide in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.