KIMBERLY WILLIAMS (NPI# 1770537532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770537532 |
| Entity Type | Individual |
| Full Name | KIMBERLY WILLIAMS |
| Credential | NP |
| Practice Address |
2555 S King Dr Chicago IL 60616-2419 |
| Practice Telephone | 7087050406 |
| Mailing Telephone | 7087050406 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-003787 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN LICENSE | 041-265451 | 01 |
| IL | APN LICENSE | 209-003787 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380580 | Kimberly Williams | Home Health | 5863 Cabanne Ave, Saint Louis, MO 63112-2410 | 2019-11-11 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| 1942860309 | Kimberly Williams | Licensed Vocational Nurse | 19780 Atascocita Shores Dr Apt 931, Humble, TX 77346-2933 | 2019-06-18 |
| 1679133367 | Kimberly Sylvia Williams | Student in an Organized Health Care Education/Training Program | 9120 W Hampton Ave Ste 90, Milwaukee, WI 53225-4960 | 2019-06-16 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1083199673 | Kimberly Sue Williams | Peer Specialist | 4913 W Lamar Ave, Spokane, WA 99208-9131 | 2018-09-28 |
| 1164932067 | Kimberly Williams | Licensed Practical Nurse | 1972 New Scotland Rd # 1012, Slingerlands, NY 12159-3629 | 2017-10-05 |
| 1881055036 | Kimberly Williams | Student in an Organized Health Care Education/Training Program | 107 36th St Ne, Washington, DC 20019-2602 | 2016-03-16 |
| 1518347335 | Kimberly Ann Williams | Social Worker | 6719 Gabrielle Pt, Whitsett, NC 27377-9808 | 2015-06-06 |
| 1376942151 | Kimberly Sheena Williams | Counselor | 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466-2659 | 2014-08-18 |
| Street Address |
2555 S KING DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318879 | Maria Sobrero | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2005-12-23 |
| 1235479858 | Norman M James, M.d., Ltd | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2013-02-19 |
| 1629333224 | Flawless Service Corporation | Surgery | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2012-07-10 |
| 1154456333 | Lakeshore Pulmonary Associates, LLC | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2007-02-21 |
| 1346317724 | Glenn A. T. Beard | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2006-11-29 |
| 1174635718 | Javette C. Orgain | Family Medicine | 2555 S King Dr, Flawless Inc. 2nd Floor C/o R. Phillips, Coo, Chicago, IL 60616-2419 | 2006-08-31 |
| 1124135611 | Richard Hong | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2006-08-23 |
| 1285689703 | Nic I Hristea | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1073125431 | Faith M Langtiw | Nurse Practitioner | 2704 W Catalpa Ave, Chicago, IL 60625-3216 | 2020-08-18 |
| 1871114025 | Quickcare, Pllc | Nurse Practitioner | 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 | 2020-04-29 |
| 1376170894 | Julia Jekli | Nurse Practitioner | 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 | 2020-03-25 |
| 1821623281 | Rina Delapena | Nurse Practitioner | 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 | 2020-03-06 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1962032813 | Sonia Ivelis Fernandez | Nurse Practitioner | 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 | 2020-01-20 |
| 1164060257 | Julie Ann Daniels | Nurse Practitioner | 5808 W Eddy St, Chicago, IL 60634-4351 | 2019-12-19 |
| 1720625593 | Bogdana Gryniv | Nurse Practitioner | 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 | 2019-11-29 |
| 1023669835 | Carlette Bailey | Nurse Practitioner | 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 | 2019-09-23 |
| Find all providers in CHICAGO | ||||
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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.