MS. AMANTHIA PEACE WILLIAMS (NPI# 1528584026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528584026 |
| Entity Type | Individual |
| Full Name | MS. AMANTHIA PEACE WILLIAMS |
| Credential | PEDORTHIST |
| Practice Address |
3645 Calder Ave. Beaumont TX 77706 |
| Mailing Address |
3645 Calder Ave Beaumont TX 77706-5027 |
| Practice Telephone | (409) 833-0053 |
| Practice Fax Number | 4098330671 |
| Mailing Telephone | 4098330053 |
| Mailing Fax Number | 4098330671 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | COMPTROLLER OF PUBLIC ACCOUNTS | 3-20480-8839-0 | 01 |
| TX | 45-5405320 | 05 |
| Street Address |
3645 CALDER AVE. |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| 1144666942 | Ida Lee Duplechin | Counselor | 6755 Phelan Boulevard, Bldg 24 Suite D, Beaumont, TX 77706 | 2013-05-20 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427559079 | Inspired Wellness | Pedorthist | 3645 Calder Ave, Beaumont, TX 77706-5027 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112555 | Lida Huang | Pedorthist | 7801 N Lamar Blvd Ste C59, Austin, TX 78752-1033 | 2020-07-29 |
| 1194239517 | Michael Leo Ashley | Pedorthist | 3301 Glenshire Dr Apt 3202, Balch Springs, TX 75180-5226 | 2017-11-21 |
| 1356722136 | Robert Dale Compton | Pedorthist | 1069 E. Gonzales Street, Seguin, TX 78155-5808 | 2015-06-17 |
| 1346528247 | Carlos Jose Benitez | Pedorthist | 900 Plaza Dr Ste 4b, Mission, TX 78572-6049 | 2011-07-26 |
| 1992728661 | Medhealth Medical Equipment Inc | Pedorthist | 9900 Westpark Dr Ste 304, Houston, TX 77063 | 2006-07-25 |
| 1700431145 | Stacy Donnia Christman | Pedorthist | 1106 Alston Ave Ste 201, Ft Worth, TX 76104-4644 | 2019-08-02 |
| 1487028049 | Brandon L Cook | Pedorthist | 5420 West Loop S, Ste 1200, Bellaire, TX 77401-2107 | 2015-11-19 |
| 1497125108 | Stephanie Santarsiero | Pedorthist | 2500 City West Blvd, Suite 300, Houston, TX 77042-3033 | 2015-10-07 |
| 1952787103 | South Texas Pedorthics,llc | Pedorthist | 601 E Main St, Suite 140, Alice, TX 78332-4972 | 2015-08-10 |
| 1851798094 | Christina Sandoval | Pedorthist | 1302 N Stanton St, El Paso, TX 79902-4122 | 2014-12-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. AMANTHIA PEACE WILLIAMS.
| 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.