BRYANT JAKE WILLIAMS IV (NPI# 1063031722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063031722 |
| Entity Type | Individual |
| Full Name | BRYANT JAKE WILLIAMS IV |
| Practice Address |
1616 West St Redding CA 96001-1726 |
| Mailing Address |
1237 California St Redding CA 96001-0618 |
| Practice Telephone | 5302447074 |
| Practice Fax Number | 5302447065 |
| Mailing Telephone | 5302437470 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CI29270320 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306241559 | Bryant Williams | Music Therapist | 3701 Northpointe Dr, Denton, TX 76207-6018 | 2014-10-30 |
| 1154359172 | Bryant Bennett Williams Jr. | Pediatrics | 1339 S Madison St, Stockton, CA 95206-1751 | 2006-06-29 |
| 1053396606 | Bryant Fleming Williams | Surgery | 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301-3030 | 2005-12-07 |
| 1366937526 | Bryant M Williams | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-06-28 |
| 1356712947 | Bryant Williams | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2015-10-08 |
| 1104246602 | Bryant Williams | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2014-04-23 |
| 1487953626 | Bryant Schell Williams | Pharmacist | 6500 George Washington Mem Hwy Ste B, Yorktown, VA 23692-2128 | 2011-03-25 |
| Street Address |
1616 WEST ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104171289 | Empire Hotel Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 1616 West St, Redding, CA 96001-1726 | 2012-07-16 |
| 1598374696 | Mishell S Knoess | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-24 |
| 1508474107 | Laura Mcardle | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-20 |
| 1649897968 | Amber M Drake | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-02 |
| 1841817251 | Marisa R Antonicic | Counselor | 1616 West St, Redding, CA 96001-1726 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1952922924 | Barbara Jessup | Counselor | 6970 Westside Rd, Redding, CA 96001-5222 | 2020-05-01 |
| 1114548393 | David M Cloyes | Counselor | 3590 El Portal Dr Apt 15, Redding, CA 96002-3154 | 2020-04-29 |
| 1144853177 | Michelle Lillian Marshall | Counselor | 3617 Ricardo Ave, Redding, CA 96002-2653 | 2020-02-18 |
| 1093348369 | Steven Earl Keck | Counselor | 3600 Ricardo Ave, Redding, CA 96002-2649 | 2020-02-14 |
| 1902439300 | Paul Miranda | Counselor | 2532 Wilson Ave Apt D, Redding, CA 96002-1741 | 2020-02-13 |
| 1609333616 | William Todd Napp | Counselor | 1145 Hartnell Ave, Redding, CA 96002-2113 | 2019-02-26 |
| 1427486356 | Laurinda Gifford | Counselor | 1147 Hartnell Ave, Redding, CA 96002-2113 | 2013-11-01 |
| 1801136882 | Tamara L Stein | Counselor | 3648 El Portal Dr, Redding, CA 96002-3133 | 2013-02-27 |
| 1568713659 | Ashley Elaine Ellis | Counselor | 3570 Santa Rosa Way, Redding, CA 96003-1766 | 2012-09-28 |
| Find all providers in REDDING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.