Individual provider Active NPI

Kendrick Lester Williams

  • Driver
  • Violet, LA
National Provider Identifier
1306486907
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
5805 6TH St
Violet, LA 70092-3058
Phone
(504) 402-4021
NPI assigned
Jan 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Driver 172A00000X LA Primary

Addresses

Primary practice location

5805 6TH St
Violet, LA 70092-3058

Mailing address

5805 6TH St
Violet, LA 70092-3058
Phone (504) 402-4021

Other practice location 1

5805 6th St
Violet, LA 70092-3058
Phone (504) 402-4021 ext. 50440

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

Practice roles

OrganizationSpecialtyStatusNew patients
D&D Transportation Services of Louisiana LLC CurrentSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1306486907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 6TH ST",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700923058",
            "telephone_number": "504-402-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 6TH ST",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700923058",
            "telephone_number": "504-402-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 6th St",
            "address_purpose": "LOCATION",
            "city": "Violet",
            "state": "LA",
            "postal_code": "700923058",
            "country_code": "US",
            "telephone_number": "504-402-4021 x50440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENDRICK",
        "middle_name": "LESTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Violet, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.