Kassandra Renee Williams

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

575135 Issued in NY

Practice address

4100 Hutchinson River Pkwy E Apt 2F
Bronx, NY 10475-5431

Phone

(347) 224-4686

NPI assigned

Sep 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1912784497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HUTCHINSON RIVER PKWY E APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755431",
            "telephone_number": "347-224-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HUTCHINSON RIVER PKWY E APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755431",
            "telephone_number": "347-224-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KASSANDRA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "575135",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "NY",
            "license": "575135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Williams
• Julie Williams, RN
• Kala Erica Williams
• Kanema Williams
• Karina N Williams, BSN
• Kelly Jean Williams, LCAT, LPAT, ATR-BC
• Kenia Williams, MSED ABA
• Kezia Mam Williams, LMSW
• Kimberly Williams
• Lashanti Keo Williams

• Nurse Massage Therapist (NMT) in Bronx, NY
• Providers in Bronx, NY by specialty
• Nurse Massage Therapist (NMT) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.