Kevin James Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00175612 Issued in WA

Practice address

109 Peoney Creek Rd
Tonasket, WA 98855-9510

Phone

(509) 486-1260

Fax

(866) 626-4289

NPI assigned

Jul 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1790126910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PEONEY CREEK RD",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988559510",
            "telephone_number": "509-486-1260",
            "fax_number": "866-626-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PEONEY CREEK RD",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988559510",
            "telephone_number": "509-486-1260",
            "fax_number": "866-626-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00175612",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00175612",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "WA",
            "license": "RN00175612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wahl, PHARMACIST
• Helen Walker
• Toni Sheree Waller, ARNP
• Rebecca Waxman
• Wenatchee Valley Hospital
• Mariann Williams, NP
• Tia Elizabeth Wold, DPT
• Nancy K Woodruff, OTR/L
• Zhuwei Chen D.M.D. , P.S.

• Registered Nurse in Tonasket, WA
• Providers in Tonasket, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.