DR. KELLIE NICOLE WILLIAMS (NPI# 1629238787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629238787 |
| Entity Type | Individual |
| Full Name | DR. KELLIE NICOLE WILLIAMS |
| Other Name | DR. KELLIE NICOLE GOFORTH |
| Credential | M.D. |
| Practice Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Practice Telephone | 7576687000 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
0101249447 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497155071 | Kellie Williams | Pharmacist | 2350 Donahue Ferry Rd, Pineville, LA 71360-4457 | 2014-09-02 |
| 1992006506 | Kellie Sue Williams | Nurse Practitioner | 2359 Chestnut Springs Trl, Marietta, GA 30062-2834 | 2010-11-12 |
| 1710549258 | Kellie A. Williams | Nurse Practitioner | 930 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2019-07-04 |
| 1609438530 | Kellie Williams | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-07-01 |
| 1932630274 | Kellie Williams | Speech-Language Pathologist | 1302 Main St, Shelbyville, KY 40065-1504 | 2017-03-27 |
| 1033653688 | Kellie Williams | Pharmacist | 500 E Chicago St, Coldwater, MI 49036-2042 | 2016-12-15 |
| 1720089980 | Kellie Williams | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-09 |
| Street Address |
601 CHILDRENS LN |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812835 | Peter M Dozier | Psychiatry & Neurology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2005-06-27 |
| 1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
| 1538767066 | Victoria M Cartagena | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-16 |
| 1922624790 | Kelsey Marie Stroud | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-06-17 |
| 1932722626 | Amanda Petroski | Specialist/Technologist, Other | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-28 |
| 1659994614 | Dominique A. Watt | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-05-26 |
| 1336762749 | Christopher Michael Spencer | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-20 |
| 1720608599 | Caitlin Dorman | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-04-22 |
| 1093335382 | Emilie Marie Heidel | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-16 |
| 1700405107 | Erin Kelley Swartz | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649685520 | Byron Weaver | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2014-06-30 |
| 1497924625 | Orhan Kahraman Atay | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942600689 | Erin Dunbar | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2014-08-31 |
| 1780004812 | Rachel Ann O'brian | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2014-04-16 |
| 1437383866 | Adam Adiv Kochman | Pediatrics | 3300 Gallows Rd, Department of Pediatrics, Falls Church, VA 22042-3307 | 2009-05-13 |
| 1346416468 | Patrick Mclaughlin | Pediatrics | 1250 E Marshall St, Richmond, VA 23298 | 2008-05-08 |
| 1235320995 | Catherine Chung | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2007-08-07 |
| 1467548677 | David Jonathan Mclario | Pediatrics | 315 W 10th St, Front Royal, VA 22630-2807 | 2006-10-05 |
| 1235173014 | Judith Ann Barto | Pediatrics | 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298-5051 | 2006-06-15 |
| 1578519526 | Frank D. Petruzella | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2006-05-25 |
| 1790744290 | Mary Camarca | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042 | 2006-03-22 |
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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.