Kimberly Denise Williams-Watson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K2137 Issued in TX

Practice address

15322 Copper Grove Blvd
Houston, TX 77095-2293

Phone

(281) 859-7596

Fax

(832) 674-4253

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1679524961

  Pediatrics

  Medicare reassignment NPD
• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
  • NPI 1609762889
  NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1891760575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 BENTGROVE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332855",
            "telephone_number": "832-220-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15322 COPPER GROVE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952293",
            "telephone_number": "281-859-7596",
            "fax_number": "832-674-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-WATSON",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039094003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039094002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366623845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Williams-Mattox, APRN, BC-FNP
• Sophia Marie Williams-Perez, MD
• Alexandria Williams-Reich, LCSW
• Latrice Williams-Tolbert
• Yolanda Williams-Vasquez, LVN
• Andtria Williams-Willis, LVN
• Antonisha Williams-Wilson
• A. Michelle Williams, D.C.
• Aaron J Williams, MD
• Abigail Bell Williams, PH.D., LCSW

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.