Individual provider Active NPI

Kelishia Lenette Williams-Nelson, RN

  • Nurse Massage Therapist (NMT)
  • Dallas, TX
National Provider Identifier
1578060745
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
808979 Issued in TX
Practice address
13450 Inwood Rd Ste 400
Dallas, TX 75244-5329
Phone
(469) 245-3564
Fax
(469) 293-1102
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 808979 TX
Nurse Massage Therapist (NMT) 163WM1400X 808979 TX Primary

Addresses

Primary practice location

13450 Inwood Rd Ste 400
Dallas, TX 75244-5329

Mailing address

13450 Inwood Rd Ste 400
Dallas, TX 75244-5329
Phone (469) 245-3564

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
808979TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Work of Art Medical and Wellness Care PLLC Nurse Massage Therapist (NMT) Current Accepting new patients
Work of Art Medical and Wellness Care PLLC Current Accepting new patients

Locations

13450 Inwood Rd
Ste 400
Dallas, TX 75244
Phone (469) 245-3564

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1578060745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 INWOOD RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445329",
            "telephone_number": "469-245-3564",
            "fax_number": "469-293-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 INWOOD RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445329",
            "telephone_number": "469-245-3564",
            "fax_number": "469-293-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-NELSON",
        "first_name": "KELISHIA",
        "middle_name": "LENETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "808979",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "TX",
            "license": "808979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.