Individual provider Active NPI

Kayla Marie Williams I, HIS

  • Hearing Instrument Specialist
  • Jackson, TN
National Provider Identifier
1346830759
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
928 Issued in TN
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

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
928OtherTNCOMMERCIAL INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
928TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Hearing & Speech Center, Inc CurrentSince Aug 1, 2024 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.

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.

Verify at the official NPI Registry.