KELSEY L. WILLIAMS (NPI# 1972126217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972126217 |
| Entity Type | Individual |
| Full Name | KELSEY L. WILLIAMS |
| Credential | NP |
| Practice Address |
7900 W Jefferson Blvd Ste 201 Fort Wayne IN 46804-4128 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604322297 |
| Practice Fax Number | 2609697266 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010033A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305561 | Kelsey Williams | Speech-Language Pathologist | 29675 Reeves Ln, Albany, LA 70711-3520 | 2020-08-06 |
| 1639467848 | Kelsey Jean Williams | Physical Therapist | 2463 Hamilton Mill Pkwy Ste 250, Dacula, GA 30019-4647 | 2011-07-21 |
| 1861092694 | Kelsey Williams | Social Worker | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-30 |
| 1841817772 | Kelsey Rhae Williams | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4717 | 2020-06-26 |
| 1386286888 | Kelsey Ann Williams | Nurse Practitioner | 9297 Wahrenberger Rd, Conroe, TX 77304-2441 | 2019-10-16 |
| 1891337796 | Kelsey Louise Williams | Physician Assistant | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2019-10-11 |
| 1003475351 | Kelsey Williams | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2019-06-11 |
| 1962969535 | Kelsey Fay Williams | Physical Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2019-03-01 |
| 1912482514 | Kelsey Ann Williams | Occupational Therapist | 3201 Cherry Ridge St Ste C323, San Antonio, TX 78230-4831 | 2018-09-28 |
| 1629556519 | Kelsey Williams | Physical Therapist | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342 | 2018-08-01 |
| Street Address |
7900 W JEFFERSON BLVD STE 201 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823590 | Rudy A. Kachmann | Neurological Surgery | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2005-06-30 |
| 1407460876 | Deborah K. Harvey | Registered Nurse | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2020-09-03 |
| 1497217277 | Joyce A. Bell | Nurse Practitioner | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2019-04-02 |
| 1174088033 | Mary K. Renzi | Physician Assistant | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2019-02-05 |
| 1790199255 | Julia A. Ellingwood | Nurse Practitioner | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2014-06-12 |
| 1730429994 | Natalie Sue Macdonald | Nurse Practitioner | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2013-02-26 |
| 1003992736 | Ashish Sharma | Internal Medicine | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1669081618 | Carly Ann Nahrwold | Nurse Practitioner | 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 | 2020-07-27 |
| 1932725942 | Health Essential LLC | Nurse Practitioner | 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 | 2020-06-25 |
| 1942824842 | Carissa Miller | Nurse Practitioner | 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 | 2020-06-05 |
| 1891329819 | Jasmine Monae Tubbs | Nurse Practitioner | 875 Petal Way, Fort Wayne, IN 46816-8900 | 2020-02-28 |
| 1235780362 | Elizabeth Rose Lichtsinn | Nurse Practitioner | 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 | 2019-09-20 |
| 1033676275 | Amanda Warner | Nurse Practitioner | 2229 Woods Rd, Fort Wayne, IN 46818-9539 | 2019-02-25 |
| 1669940714 | Brookelyn Agler | Nurse Practitioner | Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 | 2018-11-07 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on KELSEY L. WILLIAMS.
| 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.