Individual provider Active NPI

Deborah Diane Knight-Williams, MSN, ARNP, CANP/ FNP

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1780909259
Registry record updated Mar 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3205 P Issued in FL
Practice address
405 Cambridge Station Rd
Wmlnc
Louisville, KY 40223-3362
Phone
(502) 253-0764
Fax
(502) 254-5564
NPI assigned
Mar 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3205 P FL Primary

Addresses

Primary practice location

405 Cambridge Station Rd
Wmlnc
Louisville, KY 40223-3362

Mailing address

405 Cambridge Station Rd
Wmlnc
Louisville, KY 40223-3362
Phone (502) 253-0764

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 - Nursing

State licenses

LicenseStateTypeSpecialty
3205 PFLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269734400000",
    "number": "1780909259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CAMBRIDGE STATION RD",
            "address_2": "WMLNC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233362",
            "telephone_number": "502-253-0764",
            "fax_number": "502-254-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CAMBRIDGE STATION RD",
            "address_2": "WMLNC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233362",
            "telephone_number": "502-253-0764",
            "fax_number": "502-254-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT-WILLIAMS",
        "first_name": "DEBORAH",
        "middle_name": "DIANE",
        "credential": "MSN, ARNP, CANP/ FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-28",
        "last_updated": "2010-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3205 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2010; 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.