Individual provider Active NPI

Whitney Patrice Williams

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1255977153
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019038059 Issued in MO
Practice address
5913 Larson Ave
Kansas City, MO 64133-4520
Phone
(816) 308-5749
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-79074-062 KS
Nurse Practitioner 363L00000X 2019038059 MO Primary

Addresses

Primary practice location

5913 Larson Ave
Kansas City, MO 64133-4520

Mailing address

5913 Larson Ave
Kansas City, MO 64133-4520
Phone (816) 308-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230522002936 WA Practitioner - Nurse Practitioner 7012373749 Reassigns benefits to 1 organization
I20230627002545 MO Practitioner - Nurse Practitioner 7012373749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W 19TH Ter
Truman Medical Center Incorporated Behavior
Kansas City, MO 64108-2026
Phone (816) 404-5709

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79074-062KSMDNurse Practitioner
2019038059MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 24, 2023 Accepting new patients
Truman Medical Center Incorporated CurrentSince Oct 19, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 15, 2023 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Oct 19, 2024 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1255977153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 LARSON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334520",
            "telephone_number": "816-308-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 LARSON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334520",
            "telephone_number": "816-308-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WHITNEY",
        "middle_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79074-062",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019038059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.