KIMBERLY SUE WILLIAMS (NPI# 1083199673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083199673 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE WILLIAMS |
| Practice Address |
4913 W Lamar Ave Spokane WA 99208-9131 |
| Practice Telephone | 5096793751 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 175T00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380580 | Kimberly Williams | Home Health | 5863 Cabanne Ave, Saint Louis, MO 63112-2410 | 2019-11-11 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| 1942860309 | Kimberly Williams | Licensed Vocational Nurse | 19780 Atascocita Shores Dr Apt 931, Humble, TX 77346-2933 | 2019-06-18 |
| 1679133367 | Kimberly Sylvia Williams | Student in an Organized Health Care Education/Training Program | 9120 W Hampton Ave Ste 90, Milwaukee, WI 53225-4960 | 2019-06-16 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1164932067 | Kimberly Williams | Licensed Practical Nurse | 1972 New Scotland Rd # 1012, Slingerlands, NY 12159-3629 | 2017-10-05 |
| 1881055036 | Kimberly Williams | Student in an Organized Health Care Education/Training Program | 107 36th St Ne, Washington, DC 20019-2602 | 2016-03-16 |
| 1518347335 | Kimberly Ann Williams | Social Worker | 6719 Gabrielle Pt, Whitsett, NC 27377-9808 | 2015-06-06 |
| 1376942151 | Kimberly Sheena Williams | Counselor | 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466-2659 | 2014-08-18 |
| 1396159059 | Kimberly Lynn Williams | Social Worker | 120 East Townsend Street, North Lewisburg, OH 43060-9777 | 2014-06-19 |
| Street Address |
4913 W LAMAR AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-9131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1619477031 | Mark Todd Stucker | Peer Specialist | 12 E 5th Ave # 2253, Spokane, WA 99202-1309 | 2018-02-13 |
| 1306459813 | Eva R Perez | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2020-08-25 |
| 1255943627 | Dylan Ramirez | Peer Specialist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-08-18 |
| 1922626159 | Chelsa Lene Mcdaniel | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-07-14 |
| 1295353415 | David M Domreis | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-07-14 |
| 1386260313 | Dom Demetrio Felxi | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-06-25 |
| 1457973166 | Natalie J Willis | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-05-15 |
| 1962024133 | Carolyn E Scott | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2020-05-11 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.