Kevin L Williams, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN134889 Issued in LA

Practice address

1455 E Bert Kouns Loop
Suite #100
Shreveport, LA 71105-5634

Phone

(318) 798-4596

Fax

(318) 798-4520

NPI assigned

Jan 18, 2012

Last updated

May 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indep Anesthesia Services of la LLCGroup PAC ID 1355791062, 7 clinicians

Novus Louisiana Medical Professional CorporationGroup PAC ID 5395194880, 23 clinicians

University Health Shreveport, LLCGroup PAC ID 7416207196, 64 clinicians

Willis Knighton Medical Center Inc Crna GroupGroup PAC ID 1759358674, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Ochsner Lsu Health Shreveport Hospital, Shreveport, LA, CCN 190098
• Ochsner Lsu Health Shreveport-St Mary Medical Cent Hospital, Shreveport, LA, CCN 190317

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Indep Anesthesia Services of la LLC

  • Certified Registered Nurse Anesthetist
  • Bossier City, LA
  • NPI 1275230443

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Novus Louisiana Medical Professional Corporation

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1336926872

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1619443611
  Medicare reassignment Care Compare group NPD
• Willis Knighton Medical Center Inc. Crna Group

  dba Willis Knighton Anesthesia Services

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1174546097

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Medicare reassignment NPD
• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1801822762
  Medicare reassignment
• Natchitoches Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Natchitoches, LA
  • NPI 1992827182
  Medicare reassignment
• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • Hospitalist Physician
  • Shreveport, LA
  • NPI 1255754966
  NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC

  dba Ochsner LSU Health Shreveport - St. Mary Medical Center

  • Women's Hospital
  • Shreveport, LA
  • NPI 1285253252
  Care Compare affiliation
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1427536325
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1225309545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS LOOP",
            "address_2": "SUITE #100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4596",
            "fax_number": "318-798-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS LOOP",
            "address_2": "SUITE #100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4596",
            "fax_number": "318-798-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN134889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "750818167015",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298034401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8398UC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Williams
• Kathryn Nauman Williams
• Kawanda Williams, PHARMD
• Kay Williams, M.D.
• Kayla R Williams
• Keyon Williams
• Kiara A Williams, BSW
• Kimberly Joi Williams
• Krystal Williams
• La'Jayda Seirra Williams

• Certified Registered Nurse Anesthetist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.