Active NPI
Anita Williams, CERTIFICATIONS
- Health & Wellness Coach
- Kearney, MO
National Provider Identifier
1780313502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 12407 NE 115TH Ter
Kearney, MO 64060-9120 - Phone
- (816) 223-8188
- NPI assigned
- Jun 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
12407 NE 115TH Ter
Kearney, MO 64060-9120
Mailing address
12407 NE 115TH Ter
Kearney, MO 64060-9120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SELF | Other | SELF |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | self | Other | |
| Other URL | self |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1780313502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12407 NE 115TH TER",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640609120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12407 NE 115TH TER",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640609120",
"telephone_number": "816-223-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANITA",
"credential": "CERTIFICATIONS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF",
"identifier": "SELF",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "self",
"affiliation": "N",
"endpointDescription": "self",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "self",
"address_1": "12407 NE 115th Ter",
"city": "Kearney",
"state": "MO",
"country_code": "US",
"postal_code": "640609120",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "self",
"affiliation": "N",
"address_1": "12407 NE 115th Ter",
"city": "Kearney",
"state": "MO",
"country_code": "US",
"postal_code": "640609120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kearney, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.