Kathleen Marie Williams, MA, LAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT002204A Issued in PA

Practice address

109 University SQ
Erie, PA 16541-1114

Phone

(814) 871-5873

NPI assigned

Dec 12, 2006

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1922169481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 PEPPER CT",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052672",
            "telephone_number": "937-672-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 UNIVERSITY SQ",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165411114",
            "telephone_number": "814-871-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LAT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT002204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Marie Williams
• Elizabeth Williams, DO
• Heather L Williams, CPD
• Jeffrey Donald Williams
• Jillian Nicole Williams, CRNP
• Kay Louise Williams, MA/CCC-SLP
• Kenia Williams, LPC
• Mary Rita Williams
• Michelle Williams, PHARM D RPH
• Richard Williams

• Athletic Trainer in Erie, PA
• Providers in Erie, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.