Individual provider Active NPI

Krystal Sharmel Williams, HHA RMA, AASCJ

  • Home Health Aide
  • Redford, MI
National Provider Identifier
1497060537
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
272891446 Issued in MI
Practice address
18803 Garfield
Redford, MI 48240
Phone
(313) 687-2479
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272891446MedicaidMI
5715983MedicaidMI

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

LicenseStateTypeSpecialty
272891446MIMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Miss Krystal Cares LLC Transportation Network Company CurrentSince Mar 24, 2023 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.

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.

Verify at the official NPI Registry.