Demetrica Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

436 N Main St
Madisonville, KY 42431-1553

Phone

(270) 821-0632

Fax

(270) 821-0844

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1073975447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311553",
            "telephone_number": "270-821-0632",
            "fax_number": "270-821-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEMETRICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlenn Brei White
• Rachael White
• Kristin Wickham, M.D.
• Wiggins Drugs Limited (King Drug & Home Care-Madisonville)
• Andrea Renee Williams, DO
• Kelly King Williams
• Kevin Lee Williams, M.D.
• Megan McGrath Williams, M.S.-CCC- SLP
• Rayven Williams
• Robert A Willis, MD

• Case Manager/Care Coordinator in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.