Kelvin R Williams

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0076001 Issued in TX

Practice address

8868 Research Blvd
Suite 406
Austin, TX 78758-6497

Phone

(512) 326-4714

Fax

(512) 326-4700

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelvin R. Williams

  dba Clear Choice Medical Distribution

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1114106481
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1174602957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8868 RESEARCH BLVD",
            "address_2": "SUITE 406",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586497",
            "telephone_number": "512-326-4714",
            "fax_number": "512-326-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8868 RESEARCH BLVD",
            "address_2": "SUITE 406",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586497",
            "telephone_number": "512-326-4714",
            "fax_number": "512-326-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELVIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0076001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Williams
• Katelyn Williams, MA, NCC, LPC
• Kathe E Williams, MSSW LCSW
• Kathianne Sellers Williams, MED, RD
• Katrina Williams
• Kristin Williams
• Laura Williams
• Lauren Alexandria Williams, FNP-C
• Lauren Lea Williams, PA-C
• Leila Sevilla-Legacion Williams, DO

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.