CAITLIN MAREE DEFAZIO WILLIAMS (NPI# 1437622909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437622909 |
| Entity Type | Individual |
| Full Name | CAITLIN MAREE DEFAZIO WILLIAMS |
| Credential | NP-C |
| Practice Address |
11145 Highway 6 W Thaxton MS 38871-9024 |
| Mailing Address |
128 Calloway Loop Pontotoc MS 38863-6102 |
| Practice Telephone | 6624898500 |
| Mailing Telephone | 6623179783 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903099 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1619430097 | Caitlin Ann Williams | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 654, Little Rock, AR 72205-7101 | 2019-04-11 |
| 1003321431 | Caitlin Williams | Specialist/Technologist | 316 N 35th St Apt 10, Omaha, NE 68131-2426 | 2017-12-07 |
| 1750836573 | Caitlin Williams | Marriage & Family Therapist | 609 N Harbor Blvd, Fullerton, CA 92832-1517 | 2016-08-22 |
| 1316377112 | Caitlin Williams | Counselor | 48 Florence Ave, #1, Arlington, MA 02476-5946 | 2013-11-15 |
| 1114581360 | Caitlin Ann Williams | Student in an Organized Health Care Education/Training Program | 525 E 68th St # 225, New York, NY 10065-4870 | 2019-04-23 |
| 1043777543 | Caitlin Chewning Williams | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2019-02-21 |
| 1487144499 | Caitlin Williams | Occupational Therapist | 134 Infield Ct, Mooresville, NC 28117-8026 | 2018-05-15 |
| 1225553407 | Caitlin Williams | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2017-08-08 |
| 1447770060 | Caitlin Grace Williams | Psychologist | 641 W 63rd St, Chicago, IL 60621-2032 | 2017-06-24 |
| Street Address |
11145 HIGHWAY 6 W |
| City | THAXTON |
| State | MS |
| Zip Code | 38871-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1619531662 | Kacie Cameron Hollimon | Nurse Practitioner | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035695 | Carley Walker Herndon | Nurse Practitioner | 11145 Ms-6, Thaxton, MS 38871 | 2019-07-19 |
| 1306393830 | Thaxton Medical Clinic, LLC | Nurse Practitioner | 11145 Highway 6 West, Thaxton, MS 38871 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1760035695 | Carley Walker Herndon | Nurse Practitioner | 11145 Ms-6, Thaxton, MS 38871 | 2019-07-19 |
| 1730659053 | Deneatta Michelle Roarke | Counselor | 1146 Cabin Ridge Rd, Thaxton, VA 24174-3644 | 2018-11-29 |
| 1306393830 | Thaxton Medical Clinic, LLC | Nurse Practitioner | 11145 Highway 6 West, Thaxton, MS 38871 | 2016-09-01 |
| 1235474552 | Family Preservation Services, Inc. | Community/Behavioral Health | 1081 Monorail Cir, Thaxton, VA 24174-3055 | 2012-11-28 |
| 1700886504 | Shady Grove Volunteer Fire and Rescue Department Inc | Ambulance | 101 Shady Grove Dr, Thaxton, VA 24174-2902 | 2005-07-22 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035695 | Carley Walker Herndon | Nurse Practitioner | 11145 Ms-6, Thaxton, MS 38871 | 2019-07-19 |
| 1619531662 | Kacie Cameron Hollimon | Nurse Practitioner | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
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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.