NPIMap

Organization Active NPI

KSW LLC

  • Nephrology Physician
  • Hammond, LA
National Provider Identifier
1700106861
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
025637 Issued in LA
Legal business name
KSW LLC
Practice address
42286 Veterans Ave
Hammond, LA 70403-1423
Phone
(985) 902-8853
Fax
(985) 902-8854
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Dr. Kimberly S Williams, M.D.NPI 1174543193
Title
Owner
Phone
(985) 845-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 025637 LA Primary

Addresses

Primary practice location

42286 Veterans Ave
Hammond, LA 70403-1423

Mailing address

42286 Veterans Ave
Hammond, LA 70403-1423
Phone (985) 902-8853

Other practice location 1

1970 N Highway 190
Covington, LA 70433-5364
Phone (985) 845-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927001288 LA Part B Supplier - Clinic/Group Practice 8123144177 Receives reassigned benefits from 2 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

42334 Deluxe Plz
Ste 3
Hammond, LA 70403
Phone (985) 635-4774

42286 Veterans Ave
Hammond, LA 70403
Phone (985) 345-8855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1700106861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42286 VETERANS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031423",
            "telephone_number": "985-902-8853",
            "fax_number": "985-845-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42286 VETERANS AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031423",
            "telephone_number": "985-902-8853",
            "fax_number": "985-902-8854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 N Highway 190",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335364",
            "country_code": "US",
            "telephone_number": "985-845-9000",
            "fax_number": "985-845-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-845-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "025637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.