Kimberly Williams, MSN APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1000136 Issued in TX

Practice address

2214 Opal Creek Dr
San Antonio, TX 78232-5624

Phone

(103) 613-9362

Fax

(210) 939-4341

NPI assigned

Mar 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Caru Integrative Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1306544069
  NPD Authorized official
• Caru Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sheridan, WY
  • NPI 1891432118
  NPD Authorized official
• Valdez & Soto, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pewaukee, WI
  • NPI 1114377702
  NPD (past)

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1265068126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD # 777",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "102-361-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 OPAL CREEK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325624",
            "telephone_number": "103-613-9362",
            "fax_number": "210-939-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "credential": "MSN APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10041",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Williams, BSN, RN
• Kelsey Ann Williams
• Kenneth Williams, DPM
• Kevan Jay Williams, RCP
• Kierra Williams, OT
• Lacey Williams, FNP-BC
• Laura Louise Williams
• Lauren Williams, PHARMD
• Letha Williams
• Liandra Marie Williams, R.N.

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.