SUNDAE WILLIAMS MD
NPI 1407659634
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Active since March 31, 2025PECOS Enrolled
1401A JEFFERSON HWY, JEFFERSON, LA 70121(504) 842-3260 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sundae Williams Md NPPES

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

SUNDAE WILLIAMS MD (NPI 1407659634) is an individual student in an organized health care education/training program in Jefferson, Louisiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407659634
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUNDAE WILLIAMSCredential: MD
Location Address1401A JEFFERSON HWYJefferson, LA 70121-2426
Mailing Address1401a Jefferson HwyJefferson, LA 70121-2426
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1407659634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401A JEFFERSON HWY, Jefferson, LA 70121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sundae Williams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Physical Medicine & Rehabilitation (Brain Injury Medicine)
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407659634, enumerated as an "individual" on March 31, 2025.

The provider is located at 1401A JEFFERSON HWY JEFFERSON, LA 70121 and the phone number is (504) 842-3260.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.