Kelly Marie Williams, HEARING AID DISPENSE

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA3205 Issued in CA

Practice address

165 E. Rowland Street
Covina, CA 91723-3049

Phone

(626) 966-6780

Fax

(626) 966-3780

NPI assigned

May 20, 2009

Sex

Female

Sole proprietor

No

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

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.

• Taeyoung Celina Corporation

  • Hearing Instrument Specialist
  • Covina, CA
  • NPI 1558917328
  NPD (past)
• Taeyoung Hearing Center

  dba Beltone Southern California

  • Hearing Instrument Specialist
  • Fullerton, CA
  • NPI 1598996969
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1487889465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E. BASTANCHURY ROAD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352782",
            "telephone_number": "714-672-9445",
            "fax_number": "714-672-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E. ROWLAND STREET",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233049",
            "telephone_number": "626-966-6780",
            "fax_number": "626-966-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coltia Corleas Williams
• Darinisha Williams
• James Garner Williams, MD
• Jasiah Williams
• Kaila R Williams
• Krystal Williams
• Lawanda Jean Williams, 13598-R
• Rachel Williams, OT/L
• Rebekah Nicole Williams
• Shana Williams

• Hearing Instrument Specialist in Covina, CA
• Providers in Covina, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.