Khalilah Williams-Perry, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344735 Issued in NY

Practice address

2817 Albany Post Rd
Montgomery, NY 12549-2132

Phone

(845) 457-3155

Fax

(845) 457-9036

NPI assigned

Dec 26, 2019

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

61

Promoting interoperability

100

Improvement activities

40

Cost

72.76

Medicare enrollment (NPD)

Enrolled

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.

• Garnet Health Doctors PC

  • General Practice Physician
  • Middletown, NY
  • NPI 1093138851
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1932748746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ALBANY POST RD",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492132",
            "telephone_number": "845-457-3155",
            "fax_number": "845-457-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Van Duzer Pl",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "NY",
            "postal_code": "109901014",
            "country_code": "US",
            "telephone_number": "845-987-5717",
            "fax_number": "845-987-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242422",
            "country_code": "US",
            "telephone_number": "845-360-1400",
            "fax_number": "845-333-7139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Kiernan Rd",
            "address_purpose": "LOCATION",
            "city": "Campbell Hall",
            "state": "NY",
            "postal_code": "109162200",
            "country_code": "US",
            "telephone_number": "845-294-8154",
            "fax_number": "845-294-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-PERRY",
        "first_name": "KHALILAH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05972041",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9179395213",
            "affiliation": "N",
            "endpointDescription": "9179395213",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Tammy Dr",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109412052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilliamsperry68710@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2817 Albany Post Rd",
            "city": "Montgomery",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125492132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Joseph Walker, RN
• Sydney Walz
• Kiersten Amanda Webster, COTA
• Renee Wedderburn
• Lauren Ashley Wildrick, CNM
• Amanda Wilson, DDS
• Breighanne Wylong
• Helen Anne Yankanin, OTR/L
• Breanna Lynn Zahakos, CCC- SLP TSSLD
• Julie Zhu

• Family Nurse Practitioner in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.