Kim Michele Williams, PHARMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

IR60394910 Issued in WA

Practice address

1121 124TH Ave NE
Bellevue, WA 98005-2101

Phone

(206) 280-2130

NPI assigned

Jun 27, 2017

Last updated

Jun 27, 2017By the provider in NPPES

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1790206050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 HUSKY WAY",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "206-280-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 124TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052101",
            "telephone_number": "206-280-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIM",
        "middle_name": "MICHELE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "IR60394910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Lee Williams
• David Gordon Williams, RPH
• Jake Williams, D.C.
• Janis Lynne Williams, RD
• Julia Williams, MA, LMHCA
• Laurie Williams, MD
• Madeline Williams
• Shawna L Williams, LMT
• Jonathan Michael Williamsen II
• Anthony Lewayne Williamson

• Student in an Organized Health Care Education/Training Program in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.