KHADIJAH ANDREA WILLIAMS (NPI# 1760946404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760946404 |
| Entity Type | Individual |
| Full Name | KHADIJAH ANDREA WILLIAMS |
| Practice Address |
104 W Cherry St Apt 4 Normal IL 61761-4595 |
| Practice Telephone | 8159013770 |
| Mailing Telephone | 8159013770 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303267 | Khadijah Williams | Home Health Aide | 323 62nd St Ne Apt 102, Washington, DC 20019-2847 | 2020-10-09 |
| 1366062044 | Khadijah Nicole Williams | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-04-22 |
| Street Address |
104 W CHERRY ST APT 4 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978229 | Elizabeth Rose Geistlinger | Specialist/Technologist | 1241 Hovey Ave Apt 24, Normal, IL 61761-5127 | 2019-02-13 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
| 1396239133 | Michael Aaron Ybarra | Specialist/Technologist | 601 Gregory St, Normal, IL 61790-0001 | 2018-06-15 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1801398607 | Juan Fabien Baez | Specialist/Technologist | 100 N University St, Normal, IL 61761-4402 | 2018-03-07 |
| 1205343878 | Karissa Diller | Specialist/Technologist | 1905 Crestmoor Cove Cc Ct, Normal, IL 61761-5352 | 2018-01-04 |
| 1184159576 | Padraic Harty | Specialist/Technologist | 1430 Trumbull Ave, Apt 2, Normal, IL 61761-9488 | 2017-04-24 |
| 1619412053 | Joel Thomas Lockhart | Specialist/Technologist | 9 Traders Cir, Apt 210, Normal, IL 61761-4133 | 2016-12-20 |
| 1013461631 | Elizabeth Ellen Ludwig | Specialist/Technologist | 1530 Trumbull Ave, Apt 10, Normal, IL 61761-9475 | 2016-08-11 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on KHADIJAH ANDREA WILLIAMS.
| 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.