DIANDRA SHAKIRA WILLIAMS


Address: 3580 Arcade St, Vadnais Heights, MN 55127
Phone: 6519685600

DIANDRA SHAKIRA WILLIAMS (NPI# 1760986624) 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) 1760986624
Entity Type Individual
Full Name DIANDRA SHAKIRA WILLIAMS
Practice Address 3580 Arcade St
Vadnais Heights
MN 55127
Mailing Address 3580 Arcade St
Vadnais Heights
MN 55127-7135
Practice Telephone 6519685600
Mailing Telephone 6519685600
Enumeration Date 2018-03-23
Last Update Date 2019-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 12686 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
12686 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3580 Arcade St, Vadnais Heights, MN 55127 6519685600
393 Dunlap St N Ste Ll34, Saint Paul, MN 551044202 6516446002

Other Providers DIANDRA WILLIAMS

NPI Name Taxonomy Address Enumeration
1205395688 Diandra Brigette Williams Massage Therapist 8713 N Alcan St, Spokane, WA 99218-2064 2019-03-15

Office Location

Street Address 3580 ARCADE ST
City VADNAIS HEIGHTS
State MN
Zip Code 55127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972573566 Kirk Leslie Scofield Family Medicine 3580 Arcade St, Vadnais Heights, MN 55127-7135 2006-01-25
1679069751 Caitlin Dewitt Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2018-07-02
1912420704 William R Turnquist Specialist/Technologist, Other 3580 Arcade St, Vadnais Heights, MN 55127-7135 2017-07-24
1174045884 Trista Lee Norris Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2017-07-13
1255860268 Jessie Lauren Marolt Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127-7135 2017-06-05
1710410246 Samuel Rauchwarter Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2017-04-11
1457701286 Lori A Fredericks Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2016-06-13
1730536665 Rachel A Hedden Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2016-05-20
1144696980 Rachel M Silbert Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127-7135 2015-08-17
1972981827 Barbara A Siefken Physical Therapist 3580 Arcade St, Vadnais Heights, MN 55127-7135 2015-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514058 Taylor Nessa Draves Behavior Technician 1011 Meadowlamds Dr, White Bear Lake, MN 55127 2020-10-02
1578104196 Patricia Lynn Bina Technician 3677 Centerville Rd, Vadnais Heights, MN 55127 2019-10-04
1023538469 Dignicare Senior Management of Vadnais Assisted Living Facility 580 Liberty Way, Vadnais Heights, MN 55127 2017-06-27
1548610207 Golden Elderly Care Suites LLC Assisted Living Facility 4624 Stoddart Circle, White Bear Lake, MN 55127 2016-06-14
1811018203 Adam F Curtis Dentist 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 2007-04-03
1134215700 Phoenix Residence, Inc. Intermediate Care Facility, Mentally Retarded 785 E County Road E, Vadnais Heights, NE 55127 2006-10-04
1861404790 Gerald James Pease Optometrist 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 2006-08-12
1235629395 Suite Living Senior Management Assisted Living Facility 197 County Road B2 W, Roseville, MN 55127 2018-05-15
1811370729 Sonya L Knudson Psychologist 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 2015-07-09
1801275672 Anne M Mcdonald Social Worker 4444 Centerville Road, Suite 235, White Bear Lake, MN 55127 2015-05-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194120204 Nathan C Clapper Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2014-10-31
1174775514 Nathan J Nistler Physician Assistant 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 2008-10-16
1609426782 Stephanie Marie Fischer Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2019-09-19
1326609116 Kristen Marie Winter Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2019-06-24
1144696980 Rachel M Silbert Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127-7135 2015-08-17
1578979654 Emily C Peterson Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127-7135 2014-07-09
1003966706 Anne V Merrill Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127-7135 2007-01-12
1194819185 Megan B Naas Physician Assistant 3580 Arcade St, Ste 101, Vadnais Heights, MN 55127-7135 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003180555 Elizabeth K Saterenzoller Physician Assistant 1015 Marsh Street, Mankato, MN 56002-8673 2012-03-01
1477824472 Andrea Jo Pitzl Physician Assistant 3208 36th Ave Ne, St Anthony, MN 55418-1713 2012-01-23
1447560693 Jeanine Marie Edstrom Physician Assistant 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 2010-10-20
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1194042390 Gerald Frederick Anderson Physician Assistant 4060 Haines Rd, #104, Duluth, MN 55811-1746 2010-04-27
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1790922755 Jenelle Cecilia Rock Physician Assistant 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 2009-01-13
1811164007 Leah Anne Zupancich Physician Assistant 2545 Chicago Ave. S., Suite 106, Minneapolis, MN 55404 2008-05-15
1013124965 Benjamin Lowell Quimby Physician Assistant 14647 540th St, West Concord, MN 55985-3600 2007-05-17
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Competitor

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City VADNAIS HEIGHTS
Zip Code 55127

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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