Active NPI
Melene Williams, MANAGER
- Personal Care Attendant
- New Orleans, LA
National Provider Identifier
1073984266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 6400 General Meyer Ave
New Orleans, LA 70131-2020 - Phone
- (504) 975-1750
- Fax
- (866) 653-7509
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 47-5122250 | LA | |
| Personal Care Attendant | 3747P1801X | LA | Primary |
Addresses
Primary practice location
6400 General Meyer Ave
New Orleans, LA 70131-2020
Mailing address
6400 General Meyer Ave
New Orleans, LA 70131-2020
Phone (504) 975-1750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-5122250 | Medicaid | LA | |
| 47-5122250 | Other | LA | MEDICARE |
Other names 1
- Mrs. Kim Wise Gastinell
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 |
|---|---|---|---|
| 47-5122250 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1073984266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 GENERAL MEYER AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701312020",
"telephone_number": "504-975-1750",
"fax_number": "866-653-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 GENERAL MEYER AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701312020",
"telephone_number": "504-975-1750",
"fax_number": "866-653-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MELENE",
"name_prefix": "Mrs.",
"credential": "MANAGER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "47-5122250",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-5122250",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "47-5122250",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "GASTINELL",
"middle_name": "WISE",
"prefix": "MRS.",
"credential": "DR. KIM W. GASTINELL",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.