Active NPI
Kerri L Williams, DO
- Family Medicine Physician
- Norman, OK
National Provider Identifier
1326030628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3503
- Practice address
- 15951 Little Axe Dr
Norman, OK 73026-9088 - Phone
- (405) 447-0300
- Fax
- (405) 701-7914
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3503 | OK | Primary |
Addresses
Primary practice location
15951 Little Axe Dr
Norman, OK 73026-9088
Mailing address
2704 Warwick CT
Bartlesville, OK 74006-7344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3503 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluestem Medical Clinic, PLLC | Past | Accepting new patients | |
| Gemini Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Baptist Healthcare of Oklahoma | Past | Accepting new patients | |
| Norstar Emergency Physicians | Past | Accepting new patients | |
| Gemini After Hours Clinic Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Bartlesville, OK
- NPI 1417404914
-
- Emergency Medicine Physician
- Grove, OK
- NPI 1316915564
-
- Family Medicine Physician
- Bartlesville, OK
- NPI 1548333008
-
- Family Medicine Physician
- Bartlesville, OK
- NPI 1821052473
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norman, OK
- NPI 1093709537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1326030628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 WARWICK CT",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740067344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15951 LITTLE AXE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730269088",
"telephone_number": "405-447-0300",
"fax_number": "405-701-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KERRI",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.