Kilby Sue Williams

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN403582 Issued in CA

Practice address

3409 E Ocean Blvd
Long Beach, CA 90803-2663

Phone

(714) 935-6440

NPI assigned

May 22, 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

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1417448788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 E OCEAN BLVD APT 10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032652",
            "telephone_number": "714-272-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 E OCEAN BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032663",
            "telephone_number": "714-935-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KILBY",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "RN403582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Williams
• Juana Yavonne Williams
• Kadijah Simone Williams
• Kassidy Williams, PA-C
• Kelley Erin Williams, N.P.
• Kiraah Williams, N.D.
• Lamonte V Williams
• Larry D Williams, C.C.D.C.
• Lauryn Williams
• Levester Williams

• General Practice Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.