Kristen Williams

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1002 Beulah Ave
Tylertown, MS 39667-2545

Phone

(281) 241-9691

Fax

(281) 710-0907

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Odin Street Parks Group LLC

  • In Home Supportive Care Agency
  • Richmond, TX
  • NPI 1952030405
  NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1972116606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870147",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701870147",
            "telephone_number": "504-400-6844",
            "fax_number": "281-710-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BEULAH AVE",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672545",
            "telephone_number": "281-241-9691",
            "fax_number": "281-710-0907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8142 Anderwood Knoll Trce",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774071886",
            "country_code": "US",
            "telephone_number": "281-241-9691",
            "fax_number": "281-710-0907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community@ospgroucare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1002 Beulah Ave",
            "city": "Tylertown",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396672545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community@ospgroupcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8142 Anderwood Knoll Trce",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774071886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walthall Rural Health Clinic
• Jonathan Warner, CSFA
• Stephanie Warner, MD
• Williams Tylertown Pharmacy LLC
• Williams Tylertown Pharmacy LLC
• Regina A Williams, CNP
• Vonzell Osborne Williams, M.D.
• Kristi Williamson, PCMHT
• Jackie R Woods, D.D.S.
• Climma Jean Young

• All providers in Tylertown, MS
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.