MRS. KRISTI KAE WILLIAMS (NPI# 1528351962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528351962 |
| Entity Type | Individual |
| Full Name | MRS. KRISTI KAE WILLIAMS |
| Other Name | KRISTI KAE KRUSE |
| Credential | CNS-BC |
| Practice Address |
530 Ne Glenoak Avenue Pob Suite 108 Peoria IL 61603-3117 |
| Mailing Address |
530 Ne Glenoak Ave Suite 108 Peoria IL 61603-3117 |
| Practice Telephone | 3092298384 |
| Practice Fax Number | 3096248820 |
| Mailing Telephone | 3096248829 |
| Mailing Fax Number | 3096248820 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
041251062 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522509 | Kristi Williams | Nurse Practitioner | 728 Menke Rd, Victoria, TX 77905-5757 | 2015-03-11 |
| 1346647609 | Kristi Williams | Registered Nurse | 220 Allenhurst Ave, Oklahoma City, OK 73114-7606 | 2014-12-01 |
| 1740544352 | Kristi G Williams | Nurse Practitioner | 216 W Union St Ste B, Minden, LA 71055 | 2012-06-28 |
| 1295043941 | Kristi Williams | Physical Therapist | 22271 Bitter Oak St, Cupertino, CA 95014-0103 | 2010-09-15 |
| 1811181860 | Kristi Joy Williams | Social Worker | 465 Richview Park Cir W, Tallahassee, FL 32301-3420 | 2007-09-04 |
| 1033241823 | Kristi Williams | Marriage & Family Therapist | 406 E Hardy St Apt 4, Inglewood, CA 90301-8531 | 2007-03-09 |
| 1093875130 | Kristi Lynn Williams | Local Education Agency (LEA) | 8939 Highway 95, Mountain Grove, MO 65711-2885 | 2006-12-11 |
| 1669072468 | Kristi Ann Williams | Pharmacist | 1750 S Broadway St, Sulphur Springs, TX 75482-4902 | 2020-10-29 |
| 1417423864 | Kristi Patrick Williams | Registered Nurse | 1300 Baker St, Bakersfield, CA 93305-4326 | 2018-10-23 |
| 1891127072 | Kristi Lauren Nicole Williams | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2013-07-30 |
| Street Address |
530 NE GLENOAK AVENUE POB SUITE 108 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1356792956 | Jessica Gamblin | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2016-06-24 |
| 1285045013 | Melinda Lucille Lange | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-05-14 |
| 1679904858 | William Meyers II | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-12-12 |
| 1609211101 | Ruth Ann Arms | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-1726 | 2013-05-09 |
| 1902152077 | Linda Marie Cooper | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2012-07-26 |
| 1871865683 | Sarah L Lindsey | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2012-02-09 |
| 1104103670 | Jessica M Stewart | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2011-11-10 |
| 1124304407 | Melissa R Mcqueary | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2011-10-31 |
| 1598048456 | Laura A Youngman | Clinical Nurse Specialist | 2265 W Altorfer Dr, Peoria, IL 61615-1807 | 2011-09-27 |
| Find all providers in PEORIA | ||||
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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.