Active NPI
Kathy Ann Pippins Williams
- Home Health Agency
- Longview, TX
National Provider Identifier
1821158650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 005398
- Practice address
- 911 Pegues PL
A
Longview, TX 75601-4027 - Phone
- (903) 753-1000
- Fax
- (903) 753-1225
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 005398 | TX | |
| Home Health Agency | 251E00000X | 005398 | TX | Primary |
Addresses
Primary practice location
911 Pegues PL
A
Longview, TX 75601-4027
Mailing address
911 Pegues PL
A
Longview, TX 75601-4027
Phone (903) 753-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024337001 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005398 | TX | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1821158650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 PEGUES PL",
"address_2": "A",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014027",
"telephone_number": "903-753-1000",
"fax_number": "903-753-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 PEGUES PL",
"address_2": "A",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014027",
"telephone_number": "903-753-1000",
"fax_number": "903-753-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATHY",
"middle_name": "ANN PIPPINS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "005398",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "005398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024337001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.