Active NPI
Kayla Marie Williams I, HIS
- Hearing Instrument Specialist
- Jackson, TN
National Provider Identifier
1346830759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 928
- Practice address
- 65 Ridgecrest Rd
Jackson, TN 38305-2359 - Phone
- (731) 668-6076
- Fax
- (731) 668-7033
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 928 | TN | Primary |
Addresses
Primary practice location
65 Ridgecrest Rd
Jackson, TN 38305-2359
Mailing address
65 Ridgecrest Rd
Jackson, TN 38305-2359
Phone (731) 668-6076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928 | Other | TN | COMMERCIAL INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kwilliams@wthsc.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 928 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Hearing & Speech Center, Inc | Current | Accepting new patients |
Locations
65 Ridgecrest Rd
Jackson, TN 38305
Phone (731) 446-5441
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.
-
- Hearing and Speech Clinic/Center
- Jackson, TN
- NPI 1194904342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1346830759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 RIDGECREST RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052359",
"telephone_number": "731-668-6076",
"fax_number": "731-668-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 RIDGECREST RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052359",
"telephone_number": "731-668-6076",
"fax_number": "731-668-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAYLA",
"middle_name": "MARIE",
"name_suffix": "I",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TN",
"license": "928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "928",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kwilliams@wthsc.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Professional email",
"address_1": "65 Ridgecrest Rd",
"city": "Jackson",
"state": "TN",
"country_code": "US",
"postal_code": "383052359",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.