MS. TIAONIA ALEXIS WILLIAMS (NPI# 1336632975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336632975 |
| Entity Type | Individual |
| Full Name | MS. TIAONIA ALEXIS WILLIAMS |
| Practice Address |
609 E Church St Booneville MS 38829-3711 |
| Practice Telephone | 6627282488 |
| Practice Fax Number | 6627289803 |
| Mailing Telephone | 6627282488 |
| Mailing Fax Number | 6627289803 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 318 | MS | Other Service Providers |
| Street Address |
609 E CHURCH ST |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972824431 | Kristina Michelle Sloan | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2010-06-18 |
| 1003459595 | Desiree Patience Nicole Chupp | Social Worker | 609 E Church St, Booneville, MS 38829-3711 | 2019-10-28 |
| 1407319494 | Stacey Hall | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2019-04-08 |
| 1437623642 | Chasity Rene Henderson | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2019-01-22 |
| 1053888263 | Tammie Maria Hardaway | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2018-10-25 |
| 1346716719 | Jennifer L Rainey | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2018-10-23 |
| 1932689197 | Victoria Gilchrist | Case Manager/Care Coordinator | 609 E Church St, Booneville, MS 38829-3711 | 2018-08-17 |
| 1023519378 | Alyson Woodruff | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2018-02-22 |
| 1811496433 | Tiffany R Doss | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2018-02-09 |
| 1396080354 | Kayla Frazier Williams | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2012-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| 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 |
|---|---|---|---|---|
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387641 | Redimere Recovery Resources LLC | Peer Specialist | 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 | 2020-02-05 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1508470121 | Hannah Olivia Booker | Peer Specialist | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2020-09-01 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1316555329 | Madeline Nicklas | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-15 |
| 1962031468 | Frank Pace | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-04-06 |
| 1982230058 | Hannah Jade Mixon | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-03-20 |
| 1902430887 | Telena T Harmon | Peer Specialist | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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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.