Kimberly Sue McWilliams, STATE TESTED NURSES

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1406 Maxwell Ave NW
Apt# B
Warren, OH 44485-2130

Phone

(330) 555-9589

NPI assigned

Mar 5, 2007

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

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720117658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 DREXEL AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852112",
            "telephone_number": "330-392-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MAXWELL AVE NW",
            "address_2": "APT# B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852130",
            "telephone_number": "330-555-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "STATE TESTED NURSES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jendi S McNicholas, CDCA, LPC
• Natasha McQueen
• Melissa McQuillen
• Latesha McRae
• David J McWilliams, CDCA
• Joseph Ray Mead, CDCA, CPRS
• Pamela S Meade, CRNA
• Samantha Brianna-Camillie Meadows
• Joyce A Mechling, LPN
• Jane Katherine Mecozzi, RN

• All providers in Warren, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.