JACK SHELTON WILLIAMS JR. (NPI# 1881823409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881823409 |
| Entity Type | Individual |
| Full Name | JACK SHELTON WILLIAMS JR. |
| Credential | RN |
| Practice Address |
806 Acquoni Rd Suite 100 Cherokee NC 28719-0666 |
| Practice Telephone | 8284971991 |
| Practice Fax Number | 8284978194 |
| Mailing Telephone | 8284971991 |
| Mailing Fax Number | 8284978194 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 228862 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878142 | Jack Parker Williams | Physical Therapy Assistant | 5690 Weaver Rd, Conneaut, OH 44030-9798 | 2012-12-04 |
| 1629312988 | Jack Williams | Military Health Care Provider | 116 Dickman Dr, Dayton, OH 45431-1570 | 2012-11-26 |
| 1356454722 | Jack Roger Williams | Dentist | 23706 Malibu Rd, Malibu, CA 90265 | 2006-08-17 |
| 1730195892 | Jack Lawrence Williams | Dentist | 5150 E Stop 11 Rd, Suite 11, Indianapolis, IN 46237-8628 | 2006-07-31 |
| 1053357145 | Jack A Williams | Chiropractor | 204 N Glenwood Avenue, Dalton, GA 30721-3011 | 2006-06-20 |
| 1477906279 | Jack Weston Williams IIi | Pharmacist | 2034 New Castle Ave, New Castle, DE 19720-7703 | 2016-07-15 |
| 1083014633 | Jack Williams Jr. | Community Health Worker | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2014-09-02 |
| 1265658124 | Jack Owen Williams Jr. | Dentist | 3840 Woodruff Ave, Suite 206, Long Beach, CA 90808 | 2007-04-18 |
| 1598738189 | Jack Brook Williams | Specialist | 5454 Wisconsin Ave, Suite 1535, Chevy Chase, MD 20815-6901 | 2006-02-13 |
| Street Address |
806 ACQUONI RD SUITE 100 |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719-0666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205065901 | Sally Ellen Sneed | Registered Nurse | 806 Acquoni Rd, Suite 100, Cherokee, NC 28719-0666 | 2009-07-02 |
| 1578792198 | Darlene Walker | Licensed Practical Nurse | 806 Acquoni Rd, Suite 100, Cherokee, NC 28719-0666 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972088920 | Jamie Lynn Frick | Registered Nurse | 620 W Old Covered Bridge Rd, Cherokee, AL 35616-4212 | 2018-09-26 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1609023639 | Glenda Mullins | Registered Nurse | 876 Acquoni Rd, Cwwc, Cherokee, NC 28719 | 2008-08-21 |
| 1780130062 | Jocelyn Lass | Registered Nurse | 1 Hospital Road, Caller Box C-268, Cherokee, NC 28719-9253 | 2016-08-28 |
| 1962793141 | Chenoa Jacqueline Gass | Registered Nurse | 806 Acquoni Road, Suite 100, Cherokee, NC 28719 | 2011-04-22 |
| 1649597709 | Kathryn Hope Flora | Registered Nurse | 120 Nw Highway 400, Cherokee, KS 66724 | 2010-04-29 |
| 1770729725 | Brian M Kinsey | Registered Nurse | 64 John Crow Hill, Cherokee, NC 28719 | 2008-12-22 |
| 1699922633 | Betty Taylor | Registered Nurse | 876 Acquoni Rd, Cherokee, NC 28719 | 2008-08-21 |
| 1407066871 | David Ralph Taylor | Registered Nurse | One Hospital Road, Cherokee, NC 28719 | 2007-05-23 |
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|---|---|---|---|---|
| 1659972321 | Crystal Manus Masling | Registered Nurse | 103 N Deerfield Cir, Salisbury, NC 28147-9704 | 2020-11-08 |
| 1366043473 | Cathrine Laws Brown | Registered Nurse | Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | 2020-11-04 |
| 1578162103 | Prestigious One Source Home Care | Registered Nurse | 3948 Browning Pl Ste 211, Raleigh, NC 27609-6512 | 2020-10-24 |
| 1407455363 | Nickey Lashae Dimery | Registered Nurse | 4984 Us Highway 74 W, Lumberton, NC 28360-5689 | 2020-10-21 |
| 1609475821 | Davina Demerritt Norman | Registered Nurse | 113 April Ln, Dallas, NC 28034-9709 | 2020-10-19 |
| 1003415233 | Islande Mitil | Registered Nurse | 2435 Lynn Rd Ste 106b, Raleigh, NC 27612-6757 | 2020-10-19 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1194323410 | Natasha Radine Montoya | Registered Nurse | 5859 Cambridge Bay Dr, Charlotte, NC 28269-6120 | 2020-10-09 |
| 1740887264 | Keisha Corbett | Registered Nurse | 3580 Nc 14, Reidsville, NC 27320-8746 | 2020-10-07 |
| 1952908196 | Catherine Swandby Shuford | Registered Nurse | 601 White Oak Pond Rd, Apex, NC 27523-8036 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.