MRS. SHANA MONIQUE WILLIAMS (NPI# 1326356635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326356635 |
| Entity Type | Individual |
| Full Name | MRS. SHANA MONIQUE WILLIAMS |
| Credential | PMHNP-BC |
| Practice Address |
910 Broad St Durham NC 27705-4142 |
| Mailing Address |
4103 Lady Slipper Ln Durham NC 27704-6421 |
| Practice Telephone | 9194164191 |
| Mailing Telephone | 9196410669 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5004842 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848597 | Shana Niki Williams | Social Worker | 4312 Green Pastures Way, Ellenwood, GA 30294-1874 | 2019-06-05 |
| 1831502426 | Shana Evan Williams | Contractor | 9030 Grandville Ave, Detroit, MI 48228-1720 | 2014-06-11 |
| 1922193499 | Shana Williams | Psychologist | 2800 West Oakland Park Blvd., Suite 306, Oakland Park, FL 33311 | 2006-10-03 |
| 1255800710 | Shana Erneil Williams | Counselor | 1315 Spruce St, Philadelphia, PA 19107-5601 | 2018-11-14 |
| 1083195473 | Shana Nicole Lynn Williams | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2018-08-24 |
| 1730671397 | Shana Denise Williams | Assistant Behavior Analyst | 110 S Center St, Mount Olive, NC 28365-2124 | 2018-05-30 |
| 1942612122 | Shana Williams | Behavioral Analyst | 16946 Sherman Way, Van Nuys, CA 91406-3613 | 2014-05-22 |
| 1578816898 | Shana Williams | Occupational Therapist | 225 Crossways Park Dr, Woodbury, NY 11797 | 2012-10-24 |
| 1790914307 | Shana M. Williams | Specialist | 282 Route 101, Unit 11, Amherst, NH 03031-1706 | 2009-07-06 |
| Street Address |
910 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992847412 | James Walter Finch | Family Medicine | 910 Broad St, Durham, NC 27705-4142 | 2007-02-12 |
| 1386153989 | Jamie C Rincker | Dietitian, Registered | 910 Broad St, Durham, NC 27705-4142 | 2017-09-26 |
| 1275967077 | Logan Graddy Md Pllc | Clinic/Center | 910 Broad St, Durham, NC 27705-4142 | 2013-08-28 |
| 1407162050 | Kathryn Wriggelsworth | Nurse Practitioner | 910 Broad St, Durham, NC 27705-4142 | 2010-08-20 |
| 1932377280 | Logan Gabriel Graddy | Psychiatry & Neurology | 910 Broad St, Durham, NC 27705-4142 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1518401595 | Lisa Milliger | Nurse Practitioner | 402 Chapel Dr, 214 Page Building, Box 90955, Durham, NC 27708-0955 | 2016-12-12 |
| 1992255871 | Jennifer Sherburne | Nurse Practitioner | 21 Woodman Rd, Durham, NH 03824-2208 | 2016-10-04 |
| 1760702062 | Cheryl Lynnette Giscombe | Nurse Practitioner | 5221 Malik Dr, Durham, NC 27703-9375 | 2010-06-09 |
| 1902405095 | Brandy Clark | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-10-20 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1073137030 | Elizabeth R Ward | Nurse Practitioner | 4102 Ben Franklin Blvd, Durham, NC 27704-2140 | 2020-06-04 |
| 1174162671 | Matthew Hobbs | Nurse Practitioner | 2213 Elba St, Durham, NC 27705-3934 | 2019-12-31 |
| 1164063566 | Annmarie V Earnhardt | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2019-10-07 |
| 1932750593 | Shalon Evette Bobbitt | Nurse Practitioner | 6011 Fayetteville Rd, Durham, NC 27713-6248 | 2019-09-25 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on MRS. SHANA MONIQUE 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.