Katrena Denise Williams

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

BR021113 Issued in GA

Practice address

4501 Russell Pkwy Ste 36
Warner Robins, GA 31088-8681

Phone

(719) 220-0596

NPI assigned

Aug 28, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1639954811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 36",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888681",
            "telephone_number": "719-220-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 36",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888681",
            "telephone_number": "719-220-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATRENA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "BR021113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Williams-Hernandez, M.D.
• Auscia Williams
• Elecia Williams
• John Edward Williams
• Judy Williams
• Kenyatta Brandy Williams
• Latoya Williams
• Roger S Williams, MD
• Skyler Williams
• Stephanie Williams, RN

• Prosthetics Case Management in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.