Williams Healthcare Services of Kentucky, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WILLIAMS HEALTHCARE SERVICES OF KENTUCKY, LLC

Practice address

790 N Dixie Ave Ste 801
Elizabethtown, KY 42701-2473

Phone

(270) 234-0238

Fax

(270) 900-4764

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Tanisha Monique Williams, APRN

Title

Managing Member

Phone

(270) 312-3473

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Marie Houser, NP-C

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1699108969
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1871064717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 DOGWOOD LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019532",
            "telephone_number": "127-031-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N DIXIE AVE STE 801",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012473",
            "telephone_number": "270-234-0238",
            "fax_number": "270-900-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS HEALTHCARE SERVICES OF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "270-312-3473",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100453830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Faith Wilder
• Brianna Willcut
• Jodie Michelle Willenbecher
• Scott Russell Willett
• Kimberly Williams Cundiff, COUNSELOR
• Ashley Marie Williams
• Hailey Williams
• Jordan Williams
• Juanita Williams
• Karen Williams, M.D.

• Nurse Practitioner in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.