Georgia Kimesha Williams, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9583465 Issued in FL

Practice address

2416 N Andrews Ave Apt 15
Wilton Manors, FL 33311-3944

Phone

(401) 545-4792

NPI assigned

Nov 29, 2021

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

State licenses

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1821756685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 N ANDREWS AVE APT 15",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113944",
            "telephone_number": "401-545-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 N ANDREWS AVE APT 15",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113944",
            "telephone_number": "401-545-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GEORGIA",
        "middle_name": "KIMESHA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9583465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Whitely-Jackson
• Thomas Mitchell Wiest, DC, DIBCN
• Dahlia Gladola Wiggan, ARNP
• Jennifer Wilbanks, LCSW
• Erin Teresa Williams, M.S.
• Lynn Susan Williams, RPH
• Shantigra Williams, LMHC, CTP
• Williamsburg Landing Operator, LLC
• Jessica Wilson-McCoy
• Wilton Manors Dental

• Registered Nurse in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.