Kerry Ann Williamson, R.N., A.P.R.N.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

000890 Issued in CT

Practice address

935 Main St
Watkins Center, Suite C2
Manchester, CT 06040-6059

Phone

(860) 646-2525

Fax

(860) 646-9680

NPI assigned

Mar 27, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

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.

• Mary Anne Zeh, a.P.R.N., C.S., LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Manchester, CT
  • NPI 1134278815
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1962520130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KIMBERLY DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406813",
            "telephone_number": "860-533-1148",
            "fax_number": "860-646-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAIN ST",
            "address_2": "WATKINS CENTER, SUITE C2",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406059",
            "telephone_number": "860-646-2525",
            "fax_number": "860-646-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N., A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004199205",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "400000890CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janieka M Williams
• Jessica N Williams
• Kayla Williams
• Leah H Williams
• Lynore S Williams, CTRS
• Darien Willis
• Katharine Willis, LCSW
• Nicole Annmarie Wilson-Faniel, M.S.W
• Ashley Wilson
• Brianna Wilson

• Psychiatric/Mental Health Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.