MRS. SHANTAE M WILLIAMS RN
NPI 1215556006
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since April 11, 2020
4100 W 3RD ST, DAYTON, OH 45428(937) 268-6511 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2023, Jul 26, 2022, Jul 13, 2022 and 4 more (7 updates tracked since 2020).

About Mrs. Shantae M Williams Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANTAE M WILLIAMS RN (NPI 1215556006) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (0030719) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1215556006
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHANTAE M WILLIAMSCredential: RN
Location Address4100 W 3RD STDayton, OH 45428-9000
Mailing Address4100 W 3rd StDayton, OH 45428-9000
Sole ProprietorNo
Enumeration DateApril 11, 2020
Last NPPES UpdateMarch 25, 20247 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1215556006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · 0030719
Also ListedRegistered NurseTaxonomy 163W00000X · License 447493 (OH), RN.447493 (OH)
4100 W 3RD ST, Dayton, OH 45428

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiologic Technologist (Nuclear Medicine Technology)
4100 W 3RD ST
DAYTON, OH 45428
Physical Therapist
4100 W 3RD ST
DAYTON, OH 45428
Physician Assistant (Medical)
4100 W 3RD ST
DAYTON, OH 45428
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Recreation Therapist
4100 W 3RD ST
DAYTON, OH 45428
Optometrist
4100 W 3RD ST
DAYTON, OH 45428
Music Therapist
4100 W 3RD ST
DAYTON, OH 45428
Podiatrist (Foot & Ankle Surgery)
4100 W 3RD ST
DAYTON, OH 45428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantae Williams's NPI number?

The NPI number for Shantae Williams is 1215556006. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Shantae Williams located?

Shantae Williams practices at 4100 W 3rd St, Dayton, OH 45428. The listed phone number is (937) 268-6511.

What is Shantae Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shantae Williams was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.