Mary Kathleen Williams, LVN, RN

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

948714 Issued in TX

Practice address

1103 Pagedale Drive
Cedar Park, TX 78613

Phone

(512) 401-6722

NPI assigned

Oct 10, 2018

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1265907828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PAGEDALE DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135810",
            "telephone_number": "512-401-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 PAGEDALE DRIVE",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-401-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "LVN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "TX",
            "license": "948714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L Williams, CRNA
• Jason T Williams, D.C.
• Kathryn Williams
• Laura Lee Williams, MD
• Lisa Diane Williams, RPH
• Myah Grace Williams, LMSW
• Shirley Holly Williams, D.M.D.
• Williamson County & Cities Health District
• Williamson County Pulmonary & Sleep Study Associates PA
• Williamson Pain Institute PLLC

• Clinical Nurse Specialist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.