KEITH LEE WILLIAMS (NPI# 1174716005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174716005 |
Entity Type | Individual |
Full Name | KEITH LEE WILLIAMS |
Credential | PH.D. |
Practice Address |
3771 N Eagle Rd Boise ID 83713-5005 |
Practice Telephone | 2089399917 |
Practice Fax Number | 8885053331 |
Mailing Telephone | 2089399917 |
Mailing Fax Number | 8885053331 |
Enumeration Date | 2007-08-23 |
Last Update Date | 2014-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202563 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841641321 | Keith Williams | Speech-Language Pathologist | 145 Arden Pl, Alpharetta, GA 30022-5218 | 2016-06-27 |
1205205465 | Keith Williams Jr. | Home Health | 1850 5th Ave Unit 4, San Diego, CA 92101 | 2015-09-17 |
1558611657 | Keith Williams | Behavioral Analyst | 807 E Cheyenne Ave, North Las Vegas, NV 89030-8003 | 2012-09-16 |
1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
1629296793 | Keith Alexander Williams | Dentist | 279 S State Road 7, Margate, FL 33068-5727 | 2007-04-23 |
1386703445 | Keith Williams | Chiropractor | 790a Union St, A, Brooklyn, NY 11215-1307 | 2006-12-06 |
1184630238 | Keith Norman Williams | Internal Medicine | 18712 Bellevista Ct, Hudson, FL 34667-5757 | 2006-07-31 |
1083673487 | Keith Donald Williams | Physical Therapist | 32000 Northwestern Hwy Ste 180, Farmington Hills, MI 48334 | 2006-03-23 |
1558336313 | Keith M Williams | Optometrist | 1100 N Main Ave, San Antonio, TX 78212 | 2006-02-22 |
1730748641 | Keith Williams | Case Manager/Care Coordinator | 1628 E Page Ave, Malvern, AR 72104-4524 | 2019-06-13 |
Street Address |
3771 N EAGLE RD |
City | BOISE |
State | ID |
Zip Code | 83713-5005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982943478 | Williams Psychology Inc. | Psychologist | 3771 N Eagle Rd, Boise, ID 83713-5005 | 2013-02-04 |
1083937049 | Eagle Health and Wellness, Inc | Counselor | 3771 N Eagle Rd, Boise, ID 83713-5005 | 2010-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
Find all providers in zip 83713 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
1518102797 | Northwest Neurobehavioral Health Pllc | Psychologist | 6003 Overland Rd Ste 301, Boise, ID 83709-3077 | 2008-12-02 |
1225222433 | Ronald B Tye | Psychologist | 6003 Overland Rd, Suite 301, Boise, ID 83709-3073 | 2007-08-30 |
1982738563 | Michael Loren Hillam | Psychologist | 4696 W Overland Rd Ste 156, Boise, ID 83705-2878 | 2007-03-15 |
1629107321 | Center for Christian Therapy, Inc. | Psychologist | 3631 W Overland Rd, Boise, ID 83705-6033 | 2007-03-06 |
1093844474 | Jay W. Webb, Ph.d., P.a. | Psychologist | 2304 N. Cole Rd., Suite B, Boise, ID 83704 | 2007-03-03 |
1407900772 | Janelle Ruth Eckhardt | Psychologist | 1524 W Hays St, Suite 202, Boise, ID 83702-4035 | 2007-01-23 |
Find all providers in BOISE |
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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.