Active NPI
Krystal Sharmel Williams, HHA RMA, AASCJ
- Home Health Aide
- Redford, MI
National Provider Identifier
1497060537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 272891446
- Practice address
- 18803 Garfield
Redford, MI 48240 - Phone
- (313) 687-2479
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | |||
| Home Health Aide | 374U00000X | 272891446 | MI | Primary |
Addresses
Primary practice location
18803 Garfield
Redford, MI 48240
Mailing address
17405 Brady
Redford, MI 48240-2124
Phone (313) 687-2479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272891446 | Medicaid | MI | |
| 5715983 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272891446 | MI | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miss Krystal Cares LLC | Transportation Network Company | 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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Redford, MI
- NPI 1720774169
Transportation Network Company
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1497060537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17405 BRADY",
"city": "REDFORD",
"state": "MI",
"postal_code": "482402124",
"telephone_number": "313-687-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18803 GARFIELD",
"city": "REDFORD",
"state": "MI",
"postal_code": "48240",
"telephone_number": "313-687-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRYSTAL",
"middle_name": "SHARMEL",
"name_prefix": "Miss",
"credential": "HHA RMA, AASCJ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "272891446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272891446",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5715983",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.