JASON WILLIAMS (NPI# 1710525241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710525241 |
Entity Type | Individual |
Full Name | JASON WILLIAMS |
Credential | N/A |
Practice Address |
20303 Kelly Rd Detroit MI 48225-1206 |
Mailing Address |
2900 Conner St Detroit MI 48215-2407 |
Practice Telephone | 3132457000 |
Mailing Telephone | 3133081400 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376054247 | Jason Christopher Williams | Physical Therapist | 644 Southridge Ct, Westfield, IN 46074-9533 | 2017-10-19 |
1881142149 | Jason Williams | Dentist | 10009 Broadway St Ste 107, Pearland, TX 77584-9757 | 2016-09-15 |
1609225762 | Jason Douglas Williams | Anesthesiology | 1609225762, Salt Lake City, UT 84132-0002 | 2016-06-09 |
1275915712 | Jason Patrick Williams | Specialist/Technologist | 11225 Morton Taylor Rd, Belleville, MI 48111-1330 | 2015-06-21 |
1558765123 | Jason Williams | Chiropractor | 1517 Old Apex Rd, Suite 118, Cary, NC 27513-5364 | 2014-10-10 |
1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
1093137580 | Jason Williams | Audiologist-Hearing Aid Fitter | 522 Us Highway 79 S Ste B, Henderson, TX 75654-3641 | 2014-01-17 |
1629407739 | Jason Williams | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2013-11-08 |
1841548088 | Jason Bryan Williams | Chiropractor | Rr1 Box 10556, The Village Mall Bay12, Christiansted, VI 00850-9604 | 2012-08-20 |
1598029209 | Jason Tyler Williams | Student in an Organized Health Care Education/Training Program | 5 Walden Ridge Drive, Asheville, NC 28803 | 2012-06-27 |
Street Address |
20303 KELLY RD |
City | DETROIT |
State | MI |
Zip Code | 48225-1206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225296130 | Kathryn Anne Clampitt-voiles | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2008-05-28 |
1699391912 | Juliet Hope Gustafson | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-06-23 |
1760006910 | Hailie Hogan-wilson | Student in an Organized Health Care Education/Training Program | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-06-03 |
1679104301 | Stacy Jean-baptiste | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2020-01-31 |
1194377507 | Dorothy Jean Yarrington | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-07-15 |
1588137376 | Detroit Community Health Connection, Inc | Clinic/Center | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2019-01-04 |
1821598160 | Arielle Rochell Wilson | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2018-02-13 |
1780182436 | Lakeidra Bronner | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2018-01-29 |
1366976722 | Delisa Glaspie | Community/Behavioral Health | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2017-04-12 |
1972041622 | Savannah Rose Moffat | Social Worker | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2017-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639660046 | Ingrid Lewis | Registered Nurse | 20831 Ridgemont Rd, Harper Woods, MI 48225 | 2018-05-21 |
1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
1518373430 | Meah Khrysteana Tweh | Technician, Other | 20995 Bournemouth, Harper Woods, MI 48225 | 2014-07-11 |
1376878256 | Thomas Thurman | Social Worker | 20303 Kelly Rd., Detroit, MI 48225 | 2009-10-09 |
1376799320 | Ronald Brian Cornish | Massage Therapist | 20010 Kelly Rd, Harperwoods, MI 48225 | 2008-08-11 |
1811167562 | Family First Home Care LLC | Home Health | 19959 Vernier, Suite 1a, Harper Woods, MI 48225 | 2008-03-10 |
1922185982 | Odette Roye Haouilou | Dentist | 18000 Vernier, Harper Woods, MI 48225 | 2006-11-01 |
1831286236 | Gerald Joseph Fedon | Dentist | 20840 Vernier Rd, Harper Woods, MI 48225 | 2006-10-06 |
1790213759 | Horacio Enrique Falcon | Dentist | 20690 Vernier Rd, Harper Woods, MI 48225 | 2017-06-02 |
1609058585 | Patricia Ann Peet | Durable Medical Equipment & Medical Supplies | 19566 Kelly Rd, Harper Woods, MI 48225 | 2007-12-03 |
Find all providers in zip 48225 |
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 |
---|---|---|---|---|
1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
Find all providers in DETROIT |
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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.