Kristine Dionne Williams, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011392 Issued in CA

Practice address

3847 Rhoda Ave
Oakland, CA 94602-3322

Phone

(510) 735-1390

NPI assigned

Apr 19, 2019

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwilliams833163@direct.ochin.org
• Direct secure messaging: kristine.williams.1@15542.direct.athenahealth.com
• Direct secure messaging: kristine.williams.1@24668.direct.athenahealth.com

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.

• My Health Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1265719033
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1184287682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 RHODA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023322",
            "telephone_number": "510-735-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 RHODA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023322",
            "telephone_number": "510-735-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTINE",
        "middle_name": "DIONNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Orenzo Williams, BA
• Kathy Koo-Yeonsu Williams, LCSW
• Kayla Williams, M.D.
• Kenneth Williams
• Kisha Lashawn Williams
• Krystal Lynn Williams, LMFT
• Lakia Monee Williams
• Laruebetty Jean Williams, ASW
• Lee Andrew Williams I
• Lynell Williams, MD

• Family Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.