Kiara M Williams, DOO

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

1832064 Issued in OH

Practice address

27801 Euclid Ave
Euclid, OH 44132-3549

Phone

(216) 304-9673

NPI assigned

Feb 27, 2023

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Puzzle Peace Child LLC

  • Developmental Disabilities Clinic/Center
  • Euclid, OH
  • NPI 1326815929

  Respite Care, Intellectual and/Or Developmental Disabilities, Child

  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1851090153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 E BERWALD RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213925",
            "telephone_number": "216-304-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-304-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIARA",
        "middle_name": "M",
        "credential": "DOO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "1832064",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "1832064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810970347",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jawone Williams Jr.
• Jennifer Williams
• Kathy Ann Williams, LSW
• Keicel Williams
• Kelisha Williams, LPN
• Kristen Slavick Williams, M.A. CCC-SLP
• Lashonda Williams
• Marquise A Williams
• Noel Williams, BCABA
• Recellanese Williams

• Child Intellectual and/or Developmental Disabilities Respite Care in Euclid, OH
• Providers in Euclid, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.