KIMBERLY TENNILLE WILLIAMS (NPI# 1144632027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144632027 |
| Entity Type | Individual |
| Full Name | KIMBERLY TENNILLE WILLIAMS |
| Other Name | KIM TENNILLE JOINTER |
| Practice Address |
1658 Us Highway 371 Prescott AR 71857-7064 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8708873660 |
| Practice Fax Number | 8708873705 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L052508 | AR | Nursing Service Providers |
| 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 |
| 1083199673 | Kimberly Sue Williams | Peer Specialist | 4913 W Lamar Ave, Spokane, WA 99208-9131 | 2018-09-28 |
| 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 |
| Street Address |
1658 US HIGHWAY 371 |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-7064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366495806 | Kimberly Janet Tye | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2006-05-18 |
| 1821695925 | Aubrey Walker | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-10-02 |
| 1194350637 | Danny Mclay Jr | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1902431448 | Allegra L Deloney | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1811533946 | Amari K Davis | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-11-25 |
| 1154967297 | Kayleigh White | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-11-25 |
| 1902442049 | Vonderrick Robinson | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-11-25 |
| 1871135855 | Lakeitha Rose | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-10-11 |
| 1033751011 | Jami J Block | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-10-11 |
| 1194366203 | Kendra N Copeland | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944831 | Andrew Agullard | Licensed Practical Nurse | 496 Karen Dr, Prescott, AZ 86303-5426 | 2013-12-04 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1366495806 | Kimberly Janet Tye | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2006-05-18 |
| 1760967418 | Stephane Sue Anna Jones | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2018-09-28 |
| 1649753260 | Juliann Boone | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2018-09-10 |
| 1639614258 | James Michael Townsel | Licensed Practical Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2017-01-05 |
| 1205370368 | Shani West | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2016-12-08 |
| 1114470689 | Dawn Mikulek | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2016-08-01 |
| 1710337548 | Linda Conway | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2016-06-13 |
| 1184017113 | Cheryl Britton | Licensed Practical Nurse | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2015-03-16 |
| Find all providers in PRESCOTT | ||||
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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.