ANNETTA WILLIAMS (NPI# 1477053023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477053023 |
Entity Type | Individual |
Full Name | ANNETTA WILLIAMS |
Practice Address |
3625 Youree Dr Shreveport LA 71105-2121 |
Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
Practice Telephone | 3187791158 |
Practice Fax Number | 3187791158 |
Mailing Telephone | 3187791158 |
Mailing Fax Number | 3185249953 |
Enumeration Date | 2018-02-20 |
Last Update Date | 2020-06-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952729865 | Annetta Williams | Social Worker | 25 S Union St, Petersburg, VA 23803-4221 | 2014-03-29 |
Street Address |
3625 YOUREE DR |
City | SHREVEPORT |
State | LA |
Zip Code | 71105-2121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417320011 | Jasmine Wesley | Counselor | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2015-11-04 |
1578198669 | Deshaylia Plater | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2020-03-09 |
1093353179 | Tameka Dupree | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-19 |
1801434972 | Maxwell Robinson | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-19 |
1477191690 | Barbara Palmer | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-18 |
1639717853 | Andrea Bloodworth | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-18 |
1194289991 | Carrie Stone | Case Manager/Care Coordinator | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-01-25 |
1154895761 | Alescia Riggs | Case Manager/Care Coordinator | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-01-16 |
1487122834 | Ennocent Ekara | Case Manager/Care Coordinator | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2018-11-04 |
1649763814 | Ashley M Gragg | Social Worker | 3625 Youree Dr, Shreveport, LA 71105 | 2018-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
Find all providers in zip 71105 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578198669 | Deshaylia Plater | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2020-03-09 |
1093353179 | Tameka Dupree | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-19 |
1801434972 | Maxwell Robinson | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-19 |
1477191690 | Barbara Palmer | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-18 |
1639717853 | Andrea Bloodworth | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2019-12-18 |
1396238994 | Sharon Denise Lewis | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2018-06-08 |
1821503376 | Natalie Morris | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2017-12-06 |
1265947857 | Sterice Whitaker | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2017-12-05 |
1669911889 | David Cato | Peer Specialist | 3625 Youree Dr, Shreveport, LA 71105-2121 | 2017-02-21 |
1225580970 | Kate Harris | Peer Specialist | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2016-10-28 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71105 |
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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.