Kayla Williamson

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

778336 Issued in NY

Practice address

17520 Hillside Ave
Jamaica, NY 11432-5773

Phone

(718) 558-7230

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1124609805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325773",
            "telephone_number": "718-558-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325773",
            "telephone_number": "718-558-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "778336",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "778336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Aisha Williams
• Sherry A Williams, PA
• Tanya Michelle Williams
• Tydahja Maliachristine Williams
• Danielle Joie Williamson
• Yvette Williamson
• Marcia Andrea Willis
• Amanda Marie Willnerd, OTR
• Willowdale Health LLC
• Cheryl Wills

• General Practice Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.