Look up the most recent NPI and PECOS records

Jennifer Lu Williams

Case Manager/Care Coordinator

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Lu Williams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700280385
Provider Type
Individual
Full Name
Williams, Jennifer Lu
Gender
Female

Sole Proprietor
No
Enumeration Date
10/10/2014
Last Updated
10/10/2014

Contact Information

Practice Location

575 E Plumb Ln, Reno, NV 89502-3540

(775) 329-0623

(775) 337-2971

Mailing Location

575 E Plumb Ln, Reno, NV 89502-3540

(775) 329-0623

(775) 337-2971

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1245447267	Description Medicaid	Issuer Unlisted Nevada

Jennifer Lu Williams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Roth, Tania

Johnson, Michelle

Calder, Kaylie

Balderrama, Eva Maria

Zasa, Melissa

Mcveigh, Vicki Yvette

Taylor, Ervin Allstare

Nielson, Madison

Rhodes, Michelle Kirsten

Pruyn, Malia