Kady Williams LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

00991676-NP Issued in CO

Legal business name

KADY WILLIAMS LLC

Practice address

147 S Rancho Vista Dr
Pueblo, CO 81007-4047

Phone

(719) 568-8218

NPI assigned

Sep 25, 2016

Organization subpart

Yes

Parent organization

KADY WILLIAMS LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Kady Williams, PMHNP

Title

Psychiatric Mental Health NP

Phone

(719) 568-8218

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Kady Williams LLC

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474761600000",
    "number": "1174072672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S RANCHO VISTA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810074047",
            "telephone_number": "719-568-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S RANCHO VISTA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810074047",
            "telephone_number": "719-568-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADY WILLIAMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KADY WILLIAMS LLC",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KADY",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "719-568-8218",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "00991676-NP",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CO",
            "license": "0991676-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricco Nancy Julia, LCPC
• Caitlin Juliano
• Marcel Jabour Junqueira, M.D.
• K.I.D.S. & Family Counseling Services
• Benji Kaber
• Kairos Mental Health Services LLC
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado

• Adult Mental Health Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.