Individual provider Active NPI

Tabitha R Kaja-Williams

  • Nurse's Aide
  • Columbus, OH
National Provider Identifier
1194245944
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
0202667 Issued in OH
Practice address
1769 E Kenworth Rd
Columbus, OH 43224-4363
Phone
(815) 549-8858
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 0202667 OH Primary

Addresses

Primary practice location

1769 E Kenworth Rd
Columbus, OH 43224-4363

Mailing address

4478 Cheswick Rd
Columbus, OH 43231-6004
Phone (815) 549-5881

Other identifiers 1

IdentifierTypeStateIssuer
020266789MedicaidOH

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
0202667OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1194245944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 CHESWICK RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316004",
            "telephone_number": "815-549-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 E KENWORTH RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244363",
            "telephone_number": "815-549-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJA-WILLIAMS",
        "first_name": "TABITHA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "0202667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020266789",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.