Active NPI
Khalilah Williams
- Home Health Registered Nurse
- Randallstown, MD
National Provider Identifier
1730061300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R197187
- Practice address
- 3932 Sybil Rd
Randallstown, MD 21133-4021 - Phone
- (443) 474-9821
- Fax
- (443) 474-9821
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R197187 | MD | Primary |
Addresses
Primary practice location
3932 Sybil Rd
Randallstown, MD 21133-4021
Mailing address
3932 Sybil Rd
Randallstown, MD 21133-4021
Phone (443) 474-9821
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R197187 | MD | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1730061300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 SYBIL RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334021",
"telephone_number": "443-474-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 SYBIL RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334021",
"telephone_number": "443-474-9821",
"fax_number": "443-474-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KHALILAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MD",
"license": "R197187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.