Kim Demetrius Cummings-Williams, MSN, RN HEALTH COACH

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

A-3730507 Issued in NY

Practice address

21811 120TH Ave
Cambria Heights, NY 11411-2030

Phone

(917) 749-7946

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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.

• Matrix Medical Network

  • Health Maintenance Organization
  • Cambria Heights, NY
  • NPI 1427328392
  NPD (past) Authorized official

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1831071216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 120TH AVE",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112030",
            "telephone_number": "917-749-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 120TH AVE",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112030",
            "telephone_number": "917-749-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS-WILLIAMS",
        "first_name": "KIM",
        "middle_name": "DEMETRIUS",
        "credential": "MSN, RN HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3166136",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "A-3730507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Eletha Cox
• Denise Judy Crandle
• Jennifer Cranston
• Ruby Cranston, RN
• Cheryl Croney, MD
• CVS Albany LLC (CVS Pharmacy)
• Roxane Dallemand
• Daniella Daniel, LPN
• Marcd Donald Darbouze, RRT
• Shukla Das

• Health Educator in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.