Individual provider Active NPI

Heather D Williams, CNA

  • Nurse's Aide
  • Lawrence, KS
National Provider Identifier
1467085084
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
120637 Issued in KS
Practice address
2305 W 26TH St Apt A104
Lawrence, KS 66047-3135
Phone
(913) 626-8491
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 120637 KS Primary

Addresses

Primary practice location

2305 W 26TH St Apt A104
Lawrence, KS 66047-3135

Mailing address

2305 W 26TH St Apt A104
Lawrence, KS 66047-3135
Phone (913) 626-8491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address willheather089@gmail.cpm

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
120637KSMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Coco Cares Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1467085084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W 26TH ST APT A104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473135",
            "telephone_number": "913-626-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 W 26TH ST APT A104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473135",
            "telephone_number": "913-626-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KS",
            "license": "120637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willheather089@gmail.cpm",
            "affiliation": "N",
            "address_1": "2305 W 26th St Apt A104",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660473135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.