Active NPI
Kawana Jeffer Williams, APRN, PH.D., NP
- Case Management Registered Nurse
- Washington, DC
National Provider Identifier
1336787100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN1039613
- Practice address
- 3030 30TH St SE Apt 301
Washington, DC 20020-1657 - Phone
- (240) 620-1587
- NPI assigned
- Dec 12, 2019
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 0001264103 | VA | |
| School Psychologist | 103TS0200X | 0001264103 | MD | |
| Health Psychologist | 103TH0004X | 0001264103 | DC | |
| Health Service Psychologist | 103TH0100X | RN1039613 | DC | |
| Case Management Registered Nurse | 163WC0400X | RN1039613 | MD | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | RN1039613 | DC | |
| School Psychologist | 103TS0200X | RN1039613 | DC | |
| Health Psychologist | 103TH0004X | RN1039613 | DC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | RN1039613 | DC | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN1039613 | DC | |
| Diabetes Educator Registered Nurse | 163WD0400X | 0001264103 | MD | |
| Adult Development & Aging Psychologist | 103TA0700X | RN1039613 | DC | |
| Administrator Registered Nurse | 163WA2000X | 0001264103 | MD | |
| Health Service Psychologist | 103TH0100X | 0001264103 | VA | |
| Research Study Specialist | 1744R1102X | 0001264103 | DC |
Addresses
Primary practice location
3030 30TH St SE Apt 301
Washington, DC 20020-1657
Mailing address
1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (240) 620-1587
Other practice location 1
1160 1st St NE Apt 528
Washington, DC 20002-4798
Phone (240) 620-1587
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831540608 | Medicaid | MD | |
| 1992339006 | Medicaid | DC | |
| 1336787100 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001264103 | MD | MD | School Psychologist |
| RN1039613 | MD | MD | Case Management Registered Nurse |
| 0001264103 | VA | MD | Community Health Registered Nurse |
| 0001264103 | DC | MD | Research Study Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Konnect LLC | Adult Development & Aging | Current | Accepting new patients |
| Well-Konnect LLC | Community Health | Current | Accepting new patients |
Locations
1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Sandy Springs, GA
- NPI 1124748025
Community Health
-
- Health Maintenance Organization
- Denver, CO
- NPI 1992339006
Adult Development & Aging
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1336787100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "240-620-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 30TH ST SE APT 301",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201657",
"telephone_number": "240-620-1587"
}
],
"practiceLocations": [
{
"address_1": "1160 1st St NE Apt 528",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200024798",
"country_code": "US",
"telephone_number": "240-620-1587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAWANA",
"middle_name": "JEFFER",
"name_prefix": "Mrs.",
"credential": "APRN, PH.D., NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "VA",
"license": "0001264103",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "0001264103",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "DC",
"license": "0001264103",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MD",
"license": "RN1039613",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MD",
"license": "0001264103",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "DC",
"license": "RN1039613",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MD",
"license": "0001264103",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "VA",
"license": "0001264103",
"primary": false
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "DC",
"license": "0001264103",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831540608",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992339006",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336787100",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.