Samuel K Williams

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1476937 Issued in ND

Practice address

515 Wilson Avenue Dr SW
Cedar Rapids, IA 52404-3755

Phone

(763) 339-8302

NPI assigned

Feb 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Crown Homes and Services LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Cedar Rapids, IA
  • NPI 1003780248
  NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1265024830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WILSON AVENUE DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043755",
            "telephone_number": "763-339-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WILSON AVENUE DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043755",
            "telephone_number": "763-339-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "1476937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476937",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Williams, PHARMD
• Jessica Williams
• Mechon Williams
• Naeemah Williams
• Sabrina Cecelia Williams
• Susan Williams, MSW, LISW
• Amy L Wilson, ARNP
• Amy Lynn Wilson, ARNP
• Audrey Erin Wilson
• Emily Marie Wilson, MOTR/L

• Personal Care Attendant in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Personal Care Attendant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.