Individual provider Active NPI

Katherine Lovell Williams, NP

  • Family Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1457736720
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00578300 Issued in NJ
Practice address
932 S Main St
Pleasantville, NJ 08232-3646
Phone
(609) 383-0880
Fax
(609) 383-0658
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00578300 NJ Primary

Addresses

Primary practice location

932 S Main St
Pleasantville, NJ 08232-3646

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (609) 567-0434

Other identifiers 1

IdentifierTypeStateIssuer
0488259MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160105000112 NJ Practitioner - Nurse Practitioner 5991007239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

932 S Main St
Pleasantville, NJ 08232-3646
Phone (609) 383-0880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00578300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Dec 14, 2015 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Excelcare Alliance, LLC CurrentSince Dec 18, 2017 Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1457736720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-0434",
            "fax_number": "609-567-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323646",
            "telephone_number": "609-383-0880",
            "fax_number": "609-383-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHERINE",
        "middle_name": "LOVELL",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00578300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488259",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.