MRS. KERRY RAE WILLIAMS (NPI# 1720394042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720394042 |
| Entity Type | Individual |
| Full Name | MRS. KERRY RAE WILLIAMS |
| Practice Address |
738 S Longmore Mesa AZ 85202-1908 |
| Mailing Address |
1025 N Country Club Dr Mesa AZ 85201-3307 |
| Practice Telephone | 4804724374 |
| Practice Fax Number | 4804724350 |
| Mailing Telephone | 4804724374 |
| Mailing Fax Number | 4804724350 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972014280 | Kerry Lorton Williams | Home Health Aide | 13819 Perrin Dr, Carmel, IN 46032-5268 | 2017-10-14 |
| 1639333461 | Kerry Williams | Occupational Therapy Assistant | 95 Duffy Dr, Taunton, MA 02780-2833 | 2008-07-10 |
| 1275614265 | Kerry L Williams | Optometrist | 231 Crosswicks Rd Ste 1, Bordentown, NJ 08505-2602 | 2006-10-18 |
| 1255344990 | Kerry Brent Williams | Dentist | 1006 Hobbs Hwy, Seminole, TX 79360-3322 | 2006-08-14 |
| 1902277668 | Kerry Williams | Social Worker | 6049 Broadway, Merrillville, IN 46410-2619 | 2015-10-07 |
| 1447557483 | Kerry Chant Williams | Chiropractor | 1134 Bond Ave, Rexburg, ID 83440-3582 | 2011-02-25 |
| 1770897464 | Kerry E Williams | Nurse Practitioner | 1275 York Ave, Floor #14, New York, NY 10065-6007 | 2010-08-05 |
| 1376779066 | Kerry Michelle Williams | Nurse Practitioner | 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 | 2009-06-08 |
| 1144461120 | Kerry Lynn Williams | Counselor | 3601 Richards Road, North Little Rock, AR 72117 | 2009-03-20 |
| 1871773994 | Kerry Lynn Williams | Pharmacist | 6015 W Peoria Ave, Glendale, AZ 85302-1213 | 2007-11-06 |
| Street Address |
738 S LONGMORE |
| City | MESA |
| State | AZ |
| Zip Code | 85202-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750699922 | Meghan Evans | Counselor | 738 S Longmore, Mesa, AZ 85202-1908 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378209 | Shanna Schopmeyer | Psychologist | 9646 E Baltimore St, Mesa, AZ 85207-8030 | 2017-11-02 |
| 1063806354 | Shannon Follett | Psychologist | 10020 E Isleta Ave, Mesa, AZ 85209-7783 | 2015-03-24 |
| 1326356221 | Todd Mckay | Psychologist | 2055 S Rogers, Mesa, AZ 85202-6524 | 2010-09-14 |
| 1639300098 | Heather Hynes | Psychologist | 4831 E Dixon St, Mesa, AZ 85205-6456 | 2009-08-03 |
| 1255562120 | Steven Casamento | Psychologist | 1710 S Gilbert Rd, Apt 1090, Mesa, AZ 85204-8031 | 2009-07-27 |
| 1871749846 | Gg Heintz-jacobs | Psychologist | 2940 E Broadway Rd, #231, Mesa, AZ 85204-1751 | 2008-08-11 |
| 1578753315 | Michael Dale Fidler | Psychologist | 1158 E Hackamore St, Mesa, AZ 85203-4333 | 2007-07-27 |
| 1851517833 | Bonnie Jean Bartol | Psychologist | 705 S 32nd St, Mesa Public Schools Taylor Jr High, Mesa, AZ 85204 | 2007-04-18 |
| 1669514329 | Elizabeth Danielson | Psychologist | 3120 N Red Mountain, Mesa, AZ 85207-1068 | 2007-02-12 |
| 1033250675 | David S Conroy | Psychologist | 1313 W Medina Ave, Mesa, AZ 85202-6610 | 2007-02-08 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.