STACY WILLIAMS


Address: 4904 Guinevere Ct, Durham, NC 27712-2559
Phone: 9193083739

STACY WILLIAMS (NPI# 1003325457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003325457
Entity Type Individual
Full Name STACY WILLIAMS
Practice Address 4904 Guinevere Ct
Durham
NC 27712-2559
Practice Telephone 9193083739
Enumeration Date 2017-09-28
Last Update Date 2017-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CBRS 222Q00000X 01

Other Providers STACY WILLIAMS

NPI Name Taxonomy Address Enumeration
1477188332 Stacy Williams Nurse Practitioner 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 2020-03-10
1649722539 Stacy Williams Community Health Worker 402 Hawkins Ln, Eustis, FL 32726-3758 2016-10-26
1972954758 Stacy Williams Nurse Practitioner 1600 Specht Point, Suite 127, Fort Collins, CO 80525 2016-06-23
1528429941 Stacy Williams Massage Therapist 7309 Forest Ridge Dr, Schererville, IN 46375-3351 2016-03-12
1013392729 Stacy Sharpe Williams Social Worker 20146 Oakflower Ave, Tampa, FL 33647-3648 2015-07-23
1013205814 Stacy Lynn Williams Behavioral Analyst 802 Lampton Ln, Mcalester, OK 74501-7030 2011-07-13
1811299662 Stacy Williams Licensed Practical Nurse 1321 Nelson Ave, Bronx, NY 10452-2719 2010-11-30
1629031984 Stacy Jo Williams Physician Assistant 5601 J St, Sacramento, CA 95819-3948 2006-04-08
1457991424 Stacy Mae Williams Dental Hygienist 1111 Langlade Road, Antigo, WI 54409 2020-01-08
1891263646 Stacy Williams Counselor 2020 Thompson Rd, Coos Bay, OR 97420-2041 2018-11-09

Office Location

Street Address 4904 GUINEVERE CT
City DURHAM
State NC
Zip Code 27712-2559

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245485044 Sharon Louise Cooney Registered Nurse 4112 Old Oxford Rd, Durham, NC 27712 2008-11-20
1801000880 James M. Coghill Jr. Internal Medicine Unc Chapel Hill, Division of Hematology Oncology, Cb# 7305, 3009 Old Clinic Building, Chapel Hill, NC 27712 2007-05-09
1679682454 Heather Renee Ellington Nurse Practitioner 5325 Old Oxford Road, Durham, NC 27712 2006-08-29
1962418319 Barrie James Hurwitz Psychiatry & Neurology Duke University Trent Drive, 122 Baker House, Durham, NC 27712 2006-07-31
1255883963 Occupational Health Centers of North Carolina, PC Clinic/Center 5325 Old Oxford Road, Durham, NC 27712 2016-10-28
1881970218 Michele J Mcdonald Physical Therapy Assistant 2059 Torredge Rd, Durham, NC 27712 2011-10-31
1720439938 Christine Williams Pharmacist 110 Heather Ridge Ct, Durham, NC 27712-1067 2016-06-29
1114198124 Tracy Johansen Speech-Language Pathologist 1507 Bramble Dr, Durham, NC 27712-1209 2008-03-18
1134412380 Beautiful Beginnings: A Speech and Language Program, LLC Speech-Language Pathologist 1507 Bramble Dr, Durham, NC 27712-1209 2011-05-20
1760951545 Rita Helena Glynn Counselor 404 Club House St, Durham, NC 27712-1404 2018-11-21
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063986164 Madeleine Leeds Developmental Therapist 115 Market St Ste 360j, Durham, NC 27701-3227 2019-01-11
1982114294 Laurie Ann Josey Developmental Therapist 8 Woodhill Ct, Durham, NC 27713-7171 2017-10-02
1023527561 Laura Price Developmental Therapist 511 Crossview Ln, Durham, NC 27703-6729 2017-09-27
1396276796 Nikki Parker Developmental Therapist 7301 Calibre Park Dr Apt 202, Durham, NC 27707-5671 2017-03-27
1518149103 Leah Renee Parrish Developmental Therapist 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 2007-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326645763 Brittany Teach-lizzmore Developmental Therapist 800 Carolina Ave, Kinston, NC 28504-3551 2020-10-08
1770193153 Kattiesha Plum Developmental Therapist 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 2020-07-31
1255940581 Toria Davenport Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-07-22
1760014302 Janet Monica De La Cruz Developmental Therapist 231 Sanders Rd, Benson, NC 27504-9185 2020-02-11
1881233682 Michelle Ford Developmental Therapist 308 Romeo Ct, Henderson, NC 27537-4809 2019-12-27
1225670052 Raquel Barden Developmental Therapist 711 Dude Ct, Fayetteville, NC 28303-3136 2019-10-14
1427617745 Jackie Payne-mcgee Developmental Therapist 529 Black Maple Dr, Kannapolis, NC 28081-5880 2019-06-10
1962069286 Leap Child & Family Services LLC Developmental Therapist 119 North Tradd Street, Statesville, NC 28677 2019-05-22
1720643349 Satonya D Smyre Developmental Therapist 119 N Tradd St, Statesville, NC 28677-5269 2019-05-08
1881155372 Shatoya Williamson Developmental Therapist 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 2019-03-27
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Competitor

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City DURHAM
Zip Code 27712

Improve Information

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Dataset Information

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.

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