Active NPI
Kristine G Williams, MD
- Pediatrics Physician
- Chesterfield, MO
National Provider Identifier
1265458582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 106403
- Practice address
- 13001 N Outer 40 Rd
Ste 310
Chesterfield, MO 63017-5941 - Phone
- (314) 454-6400
- Fax
- (314) 454-6401
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 106403 | MO | Primary |
Addresses
Primary practice location
13001 N Outer 40 Rd
Ste 310
Chesterfield, MO 63017-5941
Mailing address
PO Box 7412029
Chicago, IL 60674-2029
Phone (314) 454-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205368509 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| University Pediatric Associates LLC | Pediatrics | Current | Accepting new patients |
| Washington University | Current | Accepting new patients |
Locations
13001 North Outer 40 Rd
Ste 310
Chesterfield, MO 63017
Phone (314) 454-6400
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
8888 Ladue Rd
Ste 130
Saint Louis, MO 63124
Phone (314) 862-4002
Interoperability endpoints
- kwilliams154500@direct.carenet.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Chesterfield, MO
- NPI 1851773634
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1265458582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412029",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742029",
"telephone_number": "314-454-6400",
"fax_number": "314-454-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 N OUTER 40 RD",
"address_2": "STE 310",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175941",
"telephone_number": "314-454-6400",
"fax_number": "314-454-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTINE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "106403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205368509",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "13001 N Outer 40 Rd",
"address_2": "STE 310",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630175941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterfield, MO
- William S. Hallums, DC LLC
- William Sedgwick MD Orthopaedic Surgery and Sports Medicine PC
- Tamara Joan Williams-Reding, M.ED., LPC
- Fred Harrison Williams, MD
- James L Williams II, MD
- Samara Marie Williamson, AGNP-C
- Kristen M Willingham, AGNP
- Sarah Ann Willis, PT
- Elizabeth M Wilmes, CRNA
- Sarah M Wilmsmeyer, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.