Shelia M Kardeen Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN140903 Issued in GA

Practice address

10055 Ford Ave
Suite 4a
Richmond Hill, GA 31324-3972

Phone

(912) 756-3075

Fax

(912) 756-5291

NPI assigned

Jan 13, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Georgia Southern University

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1265558118
  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1023313541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE",
            "address_2": "SUITE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243972",
            "telephone_number": "912-756-3075",
            "fax_number": "912-756-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 FORD AVE",
            "address_2": "SUITE 4A",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243972",
            "telephone_number": "912-756-3075",
            "fax_number": "912-756-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDEEN WILLIAMS",
        "first_name": "SHELIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN140903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Julius, LCSW
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• Angela Kallio-Crotteau
• Courtney Kane, FNP
• Duncan Frashure Katzenberger, RBT
• Stephanie B Keen, RN
• Brianna Keith, BCBA
• Angela Kellam
• Kelly Chiropractic P C

• All providers in Richmond Hill, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.