| Nicole Lee Williams, RD | |
|
155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | |
| (520) 459-3011 | |
| (520) 458-4467 |
| Full Name | Nicole Lee Williams |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 27 Years |
| Location | 155 Calle Portal Ste 300, Sierra Vista, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013498328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 871698 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jeffrey Wilde Md Pllc | 6901138049 | 5 |
| Provider Name | Chiricahua Community Health Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
| Provider Name | Jeffrey Wilde Md Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518515683 PECOS PAC ID: 6901138049 Enrollment ID: O20191023000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lee Williams, RD 155 Calle Portal Ste 100, Sierra Vista, AZ 85635-2900 Ph: (520) 515-8673 | Nicole Lee Williams, RD 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 Ph: (520) 459-3011 |
Julie Lynn Henderson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 El Camino Real, Sierra Vista, AZ 85635 Phone: 520-417-4994 Fax: 520-417-4994 | |
Anna Katarzyna Keefe, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-263-3835 Fax: 520-263-3827 | |
Canyon Vista Medical Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5700 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-417-3001 | |
Tahera Islam, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 El Camino Real, Sierra Vista, AZ 85635 Phone: 520-417-3835 | |
Chelsey M Housley, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 155 Calle Portal Ste 300, Sierra Vista, AZ 85635 Phone: 520-459-3011 Fax: 520-515-8663 | |
Robin Marie Tucker-falconer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 El Camino Real, Sierra Vista, AZ 85635 Phone: 520-417-4994 Fax: 520-417-4979 |