Individual provider Active NPI

Holly Joy Williams, LMT

  • Other Technician
  • Paducah, KY
National Provider Identifier
1144521808
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
KY-1306 Issued in KY
Practice address
115 Kiana CT
C/O Baptist Rehab Center
Paducah, KY 42001-6787
Phone
(270) 534-1200
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X KY-1306 KY Primary

Addresses

Primary practice location

115 Kiana CT
C/O Baptist Rehab Center
Paducah, KY 42001-6787

Mailing address

67 Barrington Cir
Paducah, KY 42003-8895
Phone (270) 534-4470

Other identifiers 3

IdentifierTypeStateIssuer
447930OtherCOABMP(ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
KY-1306OtherKYKY BOARD OF LICENSURE FOR MASSAGE THERAPISTS
4880660-4701OtherUTSTAT E OF UTAH DEPARTMENT OF COMMERCE

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

LicenseStateTypeSpecialty
KY-1306KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1144521808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BARRINGTON CIR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038895",
            "telephone_number": "270-534-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KIANA CT",
            "address_2": "C/O BAPTIST REHAB CENTER",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016787",
            "telephone_number": "270-534-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HOLLY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "KY",
            "license": "KY-1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABMP(ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS",
            "identifier": "447930",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF LICENSURE FOR MASSAGE THERAPISTS",
            "identifier": "KY-1306",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAT E OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "4880660-4701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.