Individual provider Active NPI

Karen Lynn Hopkins Williamson, LPN

  • Licensed Vocational Nurse
  • Canton, GA
National Provider Identifier
1811328131
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LPN045799 Issued in GA
Practice address
191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone
(770) 704-1600
Fax
(770) 704-1610
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X LPN045799 GA Primary

Addresses

Primary practice location

191 Lamar Haley Pkwy
Canton, GA 30114-8019

Mailing address

191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone (770) 704-1600

Other identifiers 1

IdentifierTypeStateIssuer
LPN045799OtherGALPN LICENSCE NUMBER

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

State licenses

LicenseStateTypeSpecialty
LPN045799GAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1811328131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 LAMAR HALEY PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148019",
            "telephone_number": "770-704-1600",
            "fax_number": "770-704-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 LAMAR HALEY PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148019",
            "telephone_number": "770-704-1600",
            "fax_number": "770-704-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KAREN",
        "middle_name": "LYNN HOPKINS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "GA",
            "license": "LPN045799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSCE NUMBER",
            "identifier": "LPN045799",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.