Kristen Williams, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP-008208 Issued in PA

Practice address

5690 Shaffer Rd
Du Bois, PA 15801

Phone

(814) 375-6817

Fax

(814) 375-0922

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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.

• Clearfield Jefferson Head and Neck Surgical Associates, Inc.

  • Otolaryngology Physician
  • Du Bois, PA
  • NPI 1235204611
  NPD (past)
• Dubois Regional Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Du Bois, PA
  • NPI 1477594232
  NPD (past)
• Dubois Regional Medical Center

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2012.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1447267752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP-008208",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P. White, M. ED.
• Sarah Gwen Whiteman
• Amy J Whitsel, NP-C
• Rachel L Wicks, PA-C
• Courtney Wigfield
• Allison Chalfant Williamsball, CRNP
• Allie Williamson
• Abigail Wilson, PA-C
• Kerri Wingard, NP
• Michael T Wingate, MD

• All providers in Du Bois, PA
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.