MS. JACKIE L WILLIAMS (NPI# 1922298975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922298975 |
| Entity Type | Individual |
| Full Name | MS. JACKIE L WILLIAMS |
| Credential | MS, LADC |
| Practice Address |
2530 South Commerce Ardmore OK 73401 |
| Mailing Address |
Po Box 189 Ardmore OK 73402-0189 |
| Practice Telephone | 5802235070 |
| Practice Fax Number | 5802235617 |
| Mailing Telephone | 5802235070 |
| Mailing Fax Number | 5802235617 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
578 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619172749 | Jackie B Williams | Chiropractor | 507 N Monroe St, Albany, GA 31701-2237 | 2007-06-19 |
| 1699380121 | Jackie Williams | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-11 |
| 1528481728 | Jackie Williams | Occupational Therapy Assistant | 22 Tuck Rd, Hampton, NH 03842-1225 | 2014-01-24 |
| 1285071738 | Jackie Augustus Williams | Obstetrics & Gynecology | 7556 Jackson Blvd, Forest Park, IL 60130-1854 | 2013-05-23 |
| 1689810111 | Jackie Elizabeth Williams | Clinical Nurse Specialist | 4780 Ashford Dunwoody Rd, Suite A-266, Atlanta, GA 30338-5564 | 2009-01-06 |
| 1003993619 | Jackie Allen Williams | Social Worker | 4800 Whitesport Cir Sw, #2, Huntsville, AL 35801-6444 | 2006-11-01 |
| Street Address |
2530 SOUTH COMMERCE |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609168244 | Rebecca Linn Brown | Counselor | 2530 South Commerce, Ardmore, OK 73401 | 2011-05-13 |
| 1942537873 | Rhonda Karen Clayton | Case Manager/Care Coordinator | 2530 South Commerce, Ardmore, OK 73401 | 2009-11-13 |
| 1316188527 | Syndy Fay Redmon | Counselor | 2530 South Commerce, Ardmore, OK 73402-0189 | 2009-03-18 |
| 1639331010 | Whitney Dawn Elmore | Case Manager/Care Coordinator | 2530 South Commerce, Ardmore, OK 73401-0189 | 2008-06-27 |
| 1982862660 | Andrea Dudley | Counselor | 2530 South Commerce, Ardmore, OK 73401 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801347067 | Laura Salciunas | Counselor | 63 W Lancaster Ave Ste 2, Ardmore, PA 19003-1413 | 2016-10-21 |
| 1386195287 | Billy Wood | Counselor | 315 4th Ave Nw, Ardmore, OK 73401-6112 | 2016-10-17 |
| 1972054799 | Latoria Perry | Counselor | 117 W Broadway St # 301, Ardmore, OK 73401-6226 | 2016-10-17 |
| 1992081137 | Edward Clyde Skidmore Jr. | Counselor | 417 Cottonwood St, Ardmore, OK 73401-1732 | 2011-11-02 |
| 1417244278 | Billy Roy Clark | Counselor | 117 W Broadway St Ste 301, Ardmore, OK 73401-6226 | 2011-06-30 |
| 1801023023 | Tanya Revels | Counselor | 312 Barbara St, Ardmore, OK 73401-9716 | 2009-06-15 |
| 1023243862 | Sherri N. Miller | Counselor | 1405 4th Ave Nw # 75, Ardmore, OK 73401-2708 | 2009-05-22 |
| 1881830057 | Tammy Sue Morgan | Counselor | 10 W Main St Ste 209, Ardmore, OK 73401-6515 | 2008-12-18 |
| 1710136015 | Lynette Yvonne Spradling | Counselor | 2530 S Commerce Street, Ardmore, OK 73402 | 2008-09-11 |
| 1487849113 | Judith Annette Caton | Counselor | 2 Broadlawn, Ardmore, OK 73401 | 2007-09-06 |
| Find all providers in ARDMORE | ||||
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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.