Active NPI
Kathy S Williams, CRNFA
- Registered Nurse First Assistant
- Indianapolis, IN
National Provider Identifier
1013949742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 28128762A
- Practice address
- 8450 Northwest Blvd
Indianapolis, IN 46278-1381 - Phone
- (317) 802-2000
- Fax
- (317) 802-2170
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 28128762A | IN | Primary |
Addresses
Primary practice location
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Mailing address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000378547 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28128762A | IN | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1013949742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 NORTHWEST BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781381",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 NORTHWEST BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781381",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATHY",
"middle_name": "S",
"credential": "CRNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "IN",
"license": "28128762A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000378547",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.