KIMBERLY S. WILLIAMSON CPO, CFM – NPI #1699788372
Durable Medical Equipment & Medical Supplies

KIMBERLY WILLIAMSON is a DME supplier located in ELIZABETH CITY, NC. NPPES has assigned the NPI number 1699788372 to KIMBERLY WILLIAMSON on August 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

The NPI profile was previously updated about 5 years ago on Dec 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY WILLIAMSON below.

NPI Profile for
KIMBERLY S. WILLIAMSON

NPI Number
1699788372
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY S. WILLIAMSON
Credentials
CPO, CFM
Primary location
106 MEDICAL DRIVE
ELIZABETH CITY, NC 27909
Phone: (252) 338-3002 Fax: (252) 338-2902
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIMBERLY WILLIAMSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSNC0482P
OTHERBCBSVA384410
MEDICAIDNC7701327
MEDICAIDVA9190511
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)
NC
224P00000X
- Prosthetist
NC CPO03814
222Z00000X
- Orthotist
NC CPO03814

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.