Active NPI
Koral Williams, NP
- Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1184863623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2006032007
- Practice address
- 1000 Carondelet Dr
Kansas City, MO 64114-4673 - Phone
- (800) 968-6866
- Fax
- (616) 532-7230
- NPI assigned
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 46311 | KS | |
| Nurse Practitioner | 363L00000X | 2006032007 | MO | Primary |
Addresses
Primary practice location
1000 Carondelet Dr
Kansas City, MO 64114-4673
Mailing address
7711 Brook Lane Ave
Kansas City, MO 64139-1105
Phone (816) 419-4469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46311 | KS | MD | Nurse Practitioner |
Interoperability endpoints
- kori.williams@115443077021700.direct.elationemr.com
- koral.williams@166622370791428.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1184863623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 BROOK LANE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641391105",
"telephone_number": "816-419-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "800-968-6866",
"fax_number": "616-532-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KORAL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "46311",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2006032007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.