Kelsey Williamson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1135757 Issued in TX

Practice address

120 E South Town Dr Ste 100
Tyler, TX 75703-4747

Phone

(903) 920-6950

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Choice Supportive Care Team Inc.

  • Multi-Specialty Clinic/Center
  • Tyler, TX
  • NPI 1174155477
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1497507412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E SOUTH TOWN DR STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034747",
            "telephone_number": "903-920-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E SOUTH TOWN DR STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034747",
            "telephone_number": "903-920-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KELSEY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1135757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.kareo.com/login-ui/#/login?redirectTo=%2Fdashboard-ui%2F%23%2F",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "120 E South Town Dr Ste 100",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757034747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tywanna Williams
• Veronica M Williams, AGPCNP
• William Christopher Williams, PA-C
• Gary W Williamson, MD
• Jacob Williamson, PHARMD
• Robin Anne Williamson
• Brigham Craig Willis, MD
• Christopher Dale Willis, MPT
• Kentoya Venga Willis
• Sherilyn A. Willis, M.D.

• Licensed Vocational Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.