Active NPI
Holly Joy Williams, LMT
- Other Technician
- Paducah, KY
National Provider Identifier
1144521808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- KY-1306
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447930 | Other | CO | ABMP(ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS |
| KY-1306 | Other | KY | KY BOARD OF LICENSURE FOR MASSAGE THERAPISTS |
| 4880660-4701 | Other | UT | STAT 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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1306 | KY | MD | Optician |
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.