Provider Demographics
NPI:1275405045
Name:WILLIAMS, NIANI KAYLA
Entity type:Individual
Prefix:
First Name:NIANI
Middle Name:KAYLA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 UNION ST NE APT 523
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8941
Mailing Address - Country:US
Mailing Address - Phone:202-428-8402
Mailing Address - Fax:
Practice Address - Street 1:1424 CHAPIN ST NW APT 401
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-8514
Practice Address - Country:US
Practice Address - Phone:202-428-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC202C00000X163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC212985015Medicaid