Kathlene Williamson, C.F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R530719 Issued in MS

Practice address

5903 Ridgewood Road
Suite 440
Jackson, MS 39211-3702

Phone

(601) 899-3989

Fax

(601) 899-3504

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathlene Suzanne Hodges Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  Nurse Practitioner

  NPD (past)
• Winston T Capel,M.D.,PA

  • Neurological Surgery Physician
  • Madison, MS
  • NPI 1568610020
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1457357063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24023",
            "address_2": "DEPT #03-054",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254023",
            "telephone_number": "601-899-3989",
            "fax_number": "601-899-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD ROAD",
            "address_2": "SUITE 440",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113702",
            "telephone_number": "601-899-3989",
            "fax_number": "601-899-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KATHLENE",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN13944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R530719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLENE",
            "last_name": "HODGES",
            "middle_name": "SUZANNE",
            "credential": "C.F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victor G Williams, PCAT
• William Thomas Williams Jr., MD
• Zandra D Williams
• Amanda Williamson
• Aubrey Duane Williamson, MD
• Kevin Paul Williamson, B.S.
• Linda Gail Williamson, CRNA
• Mindy Jo Edna Williamson, F.N.P.
• Qianwen Williamson
• Veronica Nicole Williamson

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.