Kori Raeann Williams, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95004591 Issued in CA

Practice address

8307 Brimhall Rd
Ste 1707
Bakersfield, CA 93312-2251

Phone

(661) 587-8990

Fax

(661) 587-8980

NPI assigned

Feb 26, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGEGCA
• FHIR API: https://api.platform.athenahealth.com/17042/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centric Health

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1831248236
  Medicare reassignment NPD
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Farr Medical Group, Inc

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1144496217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1013457969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WOODBRIDGE CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067035",
            "telephone_number": "661-428-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 BRIMHALL RD",
            "address_2": "STE 1707",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122251",
            "telephone_number": "661-587-8990",
            "fax_number": "661-587-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KORI",
        "middle_name": "RAEANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Ruth Williams, RN BSN PHN
• Jada Monay Williams
• Jaye Cameron Williams
• Jeri Yvonne Williams, M.D.
• John Williams, CRNA
• Kristi Patrick Williams
• Lashone Nyree Williams
• Latisha Williams
• Lisa Lin Williams, M.S., CF-SLP
• Mark I Williams, MD

• Primary Care Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.