Individual provider Active NPI

Kiara Williams, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1356229157
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011247 Issued in VA
Practice address
6160 Kempsville Cir
Norfolk, VA 23502-3933
Phone
(757) 321-3300
NPI assigned
Aug 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110011247 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir
Norfolk, VA 23502-3933

Mailing address

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031000846 VA Practitioner - Physician Assistant 6204325913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of TidewaterGroup PAC ID 5092618462, 167 clinicians

Practice addresses (Care Compare)

1800 Camelot Dr
Suite 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3300

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110011247VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Oct 6, 2025 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Oct 6, 2025 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Past Accepting new patients

Locations

1309 Executive Blvd
Ste 100
Chesapeake, VA 23320

6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 4

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1356229157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-321-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIARA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.