Active NPI
Kelle Patrice Williams, M.S.
- Audiologist
- Sacramento, CA
National Provider Identifier
1750569331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2175
- Practice address
- 1555 River Park Dr
Suite 206L
Sacramento, CA 95815-4612 - Phone
- (916) 921-6023
- Fax
- (916) 921-1492
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2175 | CA | Primary |
| Audiologist | 231H00000X | 473 | CO | |
| Audiologist-Hearing Aid Fitter | 237600000X | HA5001 | CA |
Addresses
Primary practice location
1555 River Park Dr
Suite 206L
Sacramento, CA 95815-4612
Mailing address
1555 River Park Dr
Suite 206L
Sacramento, CA 95815-4612
Phone (916) 921-6023
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 473 | CO | MD | Marriage & Family Therapist |
| AU2175 | CA | MD | Audiologist |
| HA5001 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1750569331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 RIVER PARK DR",
"address_2": "SUITE 206L",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154612",
"telephone_number": "916-921-6023",
"fax_number": "916-921-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 RIVER PARK DR",
"address_2": "SUITE 206L",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154612",
"telephone_number": "916-921-6023",
"fax_number": "916-921-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KELLE",
"middle_name": "PATRICE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2175",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "473",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA5001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.