Active NPI
Valerie Williams
- Other Technician
- Shelbyville, KY
National Provider Identifier
1376925248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- S520839115184
- Practice address
- 213 Midland Blvd
Shelbyville, KY 40065-7791 - Phone
- (502) 647-0144
- NPI assigned
- Jun 26, 2015
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | S520839115184 | MI | Primary |
Addresses
Primary practice location
213 Midland Blvd
Shelbyville, KY 40065-7791
Mailing address
1565 Buckingham Ave
Lincoln Park, MI 48146-3501
Phone (269) 601-6290
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 |
|---|---|---|---|
| S520839115184 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1376925248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 BUCKINGHAM AVE",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481463501",
"telephone_number": "269-601-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 MIDLAND BLVD",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400657791",
"telephone_number": "502-647-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VALERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "S520839115184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.