Individual provider Active NPI

Kayla Pruitt Williams, CST, CSFA

  • Surgical Technologist
  • Sugar Land, TX
National Provider Identifier
1437938701
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
191336 Issued in TX
Practice address
6544 Greatwood Pwky
Ste a
Sugar Land, TX 77479
Phone
(832) 648-3306
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 191336 TX Primary

Addresses

Primary practice location

6544 Greatwood Pwky
Ste a
Sugar Land, TX 77479

Mailing address

3536 Highway 6 # 150
Sugar Land, TX 77478-4401
Phone (832) 648-3306

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
191336TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proficio Surgical Assistants, LLC CurrentSince Mar 17, 2024 Accepting new patients
TMH Physician Associates PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

3536 Highway 6
Sugar Land, TX 77478
Phone (832) 277-0500

6544 Greatwood Pkwy
Ste A
Sugar Land, TX 77479
Phone (832) 277-0500

Organizations & group practices 2

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1437938701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HIGHWAY 6 # 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784401",
            "telephone_number": "832-648-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 GREATWOOD PWKY",
            "address_2": "STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "832-648-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAYLA",
        "middle_name": "PRUITT",
        "credential": "CST, CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "191336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.