Kory Lynne Williams, P.A.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1544 Issued in CO

Practice address

2 Burnett Court
Ste 100
Durango, CO 81301-3647

Phone

(970) 385-4022

Fax

(970) 385-4337

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Emergency Services District of Columbia Inc

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1588655963
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1790757771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURNETT COURT",
            "address_2": "STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013647",
            "telephone_number": "970-385-4022",
            "fax_number": "970-385-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BURNETT COURT",
            "address_2": "STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013647",
            "telephone_number": "970-385-4022",
            "fax_number": "970-385-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KORY",
        "middle_name": "LYNNE",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1544",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen O'Connell Williams, CNM
• Eve Nicole Williams, LCSW, LAC
• Jeffrey S Williams, D.O.
• Judith Ann Williams, RN
• Kimberly Mae Williams, LSW
• Morgan Williams, LCSW, LAC
• Sarah Williams, ATC
• William Thomas Williams, MD
• Sierra R Williamsen, LPC
• Grace Jenae Willow Britt, MA, LPC, NCC, ACHT

• Physician Assistant in Durango, CO
• Providers in Durango, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.