Kadeen Latoya Willacey

Primary specialty

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

License

RN307343 Issued in GA

Practice address

2400 Gillionville Rd
Albany, GA 31707-3023

Phone

(720) 499-4688

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1790699106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W STE 408",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144564",
            "telephone_number": "720-499-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073023",
            "telephone_number": "720-499-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLACEY",
        "first_name": "KADEEN",
        "middle_name": "LATOYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "RN307343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Shernise Wiggins
• Katrina Michelle Wilburn-Beckhom, M.S.
• Roderick McLeod Wilcox, LCSW, MFT
• Stephen Mark Wilder
• Kenna W Wiles, P.A.
• William J. Davanzo, M.D., P.C.
• William Kelvin Lane
• William R. Berry III D.D.S. PC
• Williams Home Care LLC
• Jessica Rena Williams-Bush, NP

• Student in an Organized Health Care Education/Training Program in Albany, GA
• Providers in Albany, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.