Healthcare Provider Details

I. General information

NPI: 1487004255
Provider Name (Legal Business Name): MRS. BRENDA JOYCE WILLIAMS HAMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRENDA JOYCE WILLIAMS

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 09/10/2022
Certification Date: 09/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 JOHN H CHAFEE BLVD
NEWPORT RI
02840-1034
US

IV. Provider business mailing address

6 JOHN H CHAFEE BLVD
NEWPORT RI
02840-1034
US

V. Phone/Fax

Practice location:
  • Phone: 401-848-2160
  • Fax:
Mailing address:
  • Phone: 401-848-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: