Keydra S Williams

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

142 High St
Pacific, MO 63069-1541

Phone

(636) 271-4033

Fax

(636) 246-0030

NPI assigned

Aug 22, 2024

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

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1871326090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691541",
            "telephone_number": "636-271-4033",
            "fax_number": "636-246-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691541",
            "telephone_number": "636-271-4033",
            "fax_number": "636-246-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEYDRA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Bridge Medical Inc
• Abdullah Nadeem Sufi, RPH
• Nicole Marie Tonkovic, M.A. CCC-SLP
• Cary William Ulbrich, DDS
• John Williams, M.D.
• Winchester Spine and Sport of Pacific-Eureka LLC
• Jessica Wittich, FNP
• Kelly Joy Worth, D.C.
• Your Optimal Healthcare LLC

• Home Health Agency in Pacific, MO
• Providers in Pacific, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.