Individual provider Active NPI

Kawana Jeffer Williams, APRN, PH.D., NP

  • Case Management Registered Nurse
  • Washington, DC
National Provider Identifier
1336787100
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN1039613 Issued in MD
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
831540608MedicaidMD
1992339006MedicaidDC
1336787100MedicaidDC

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

LicenseStateTypeSpecialty
0001264103MDMDSchool Psychologist
RN1039613MDMDCase Management Registered Nurse
0001264103VAMDCommunity Health Registered Nurse
0001264103DCMDResearch Study Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Konnect LLC Adult Development & Aging CurrentSince Mar 1, 2020 Accepting new patients
Well-Konnect LLC Community Health CurrentSince Aug 31, 2022 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.

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.

Verify at the official NPI Registry.