Kadijah Simone Williams

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4300 Long Beach Blvd
Long Beach, CA 90807-2011

Phone

(661) 618-6143

NPI assigned

Jan 28, 2009

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1760620769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 1/4 HAYTER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123110",
            "telephone_number": "661-618-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "661-618-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KADIJAH",
        "middle_name": "SIMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Marie Williams, MSW
• John Andrew Williams III
• John Christopher Williams, PHD
• John D Williams
• Juana Yavonne Williams
• Kassidy Williams, PA-C
• Kelley Erin Williams, N.P.
• Kilby Sue Williams
• Kiraah Williams, N.D.
• Lamonte V Williams

• Rehabilitation Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.