Active NPI
Kierra Williamson
- Licensed Practical Nurse
- Akron, OH
National Provider Identifier
1932646718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 178790
- Practice address
- 1844 Stephanie LN
Akron, OH 44306-4525 - Phone
- (330) 962-3411
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Licensed Practical Nurse | 164W00000X | 178790 | OH | Primary |
Addresses
Primary practice location
1844 Stephanie LN
Akron, OH 44306-4525
Mailing address
1844 Stephanie LN
Akron, OH 44306-4525
Phone (330) 962-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178790 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1932646718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 STEPHANIE LN",
"city": "AKRON",
"state": "OH",
"postal_code": "443064525",
"telephone_number": "330-962-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 STEPHANIE LN",
"city": "AKRON",
"state": "OH",
"postal_code": "443064525",
"telephone_number": "330-962-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "KIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2021-05-27",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "178790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.