MRS. KERRY ANN WILLIAMSON


Address: 935 Main St, Watkins Center, Suite C2, Manchester, CT 06040-6059
Phone: 8606462525

MRS. KERRY ANN WILLIAMSON (NPI# 1962520130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962520130
Entity Type Individual
Full Name MRS. KERRY ANN WILLIAMSON
Credential R.N., A.P.R.N.
Practice Address 935 Main St
Watkins Center, Suite C2
Manchester
CT 06040-6059
Mailing Address 15 Kimberly Dr
Manchester
CT 06040-6813
Practice Telephone 8606462525
Practice Fax Number 8606469680
Mailing Telephone 8605331148
Mailing Fax Number 8606469680
Enumeration Date 2007-03-27
Last Update Date 2013-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
000890 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004199205 05
CT ANTHEM BLUE CROSS 400000890CT01 01

Other Providers KERRY WILLIAMSON

NPI Name Taxonomy Address Enumeration
1376898239 Kerry Faith Williamson Speech-Language Pathologist 1606 Prairie Center Pkwy, Suite 120, Brighton, CO 80601-4004 2012-07-17

Office Location

Street Address 935 MAIN ST
WATKINS CENTER, SUITE C2
City MANCHESTER
State CT
Zip Code 06040-6059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699773762 Mary Anne Zeh Nurse Practitioner 935 Main St, Suite C2, Manchester, CT 06040-6050 2005-07-12
1538596317 Stepping Stones Therapy Center, LLC Marriage & Family Therapist 935 Main St, Suite 303, Manchester, CT 06040-6059 2013-10-11
1831433838 Elizabeth Ann Ibsen Counselor 935 Main St, Suite 303, Manchester, CT 06040-6059 2012-11-15
1417211103 Melissa Razel, Lcsw, LLC Community/Behavioral Health 935 Main St, Suite 4b, Manchester, CT 06040-6059 2012-06-27
1053645382 Antoinette R Scott Social Worker 935 Main St, Suite 303, Manchester, CT 06040-6059 2009-09-18
1770719189 Marline Cosme Marriage & Family Therapist 935 Main St, Suite 303, Manchester, CT 06040-6059 2009-06-01
1114151677 Karen M Keefe Colt Counselor 935 Main St, Manchester, CT 06040-6059 2009-05-12
1609000470 Maryjoan Picone Social Worker 935 Main St, Suite 303, Manchester, CT 06040-6059 2009-05-08
1457592560 New Hope Manor, Inc Clinic/Center 935 Main St, Suite 303, Manchester, CT 06040-6059 2009-03-19
1851560411 Veena Vani, M.d., LLC Clinic/Center 935 Main St, Level A, Manchester, CT 06040-6059 2008-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1962856179 Odelia Brew Nurse Practitioner 256 Hackmatack Street, Manchester, CT 06040 2016-04-14
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811535008 Dawn of A New Day Mental Health, Pllc Nurse Practitioner 250 Commercial St Ste 2100, Manchester, NH 03101-1142 2019-12-18
1033757893 Joanna Mrozek Nurse Practitioner 270 Oak St, Manchester, CT 06040-5563 2019-12-11
1821575929 Maria D. Ruiz Nurse Practitioner 25 Middle Tpke W, Manchester, CT 06040-4045 2018-07-23
1881104826 Progressive Psychiatric Services, Pllc Nurse Practitioner 771 Chestnut Street, Manchester, NH 03104-3011 2017-10-04
1689045338 Pat Buth Nurse Practitioner 111 Amherst Dr, Manchester, CT 06042-8543 2015-10-07
1730589615 Lisa Weldon Nurse Practitioner 771 Chestnut St, Manchester, NH 03104-3011 2014-08-28
1265598056 Albert S Ward Nurse Practitioner 30 Canton St., Suite 13, Manchester, NH 03103 2006-12-28
1851472427 Rodney C Patterson Nurse Practitioner 715 Big Oak Dr, Manchester, TN 37355-7808 2006-10-18
1932121340 Barbara D. Steele Nurse Practitioner 913 Elm St, Suite 511, Manchester, NH 03101-2005 2006-07-24
1952359192 Pennie Marie Kane Nurse Practitioner 27 Lowell St, Suite 205, Manchester, NH 03101-1646 2006-05-04
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Competitor

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City MANCHESTER
Zip Code 06040

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Dataset Information

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.

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