Individual provider Active NPI

Nakia Keishanee Williams, CRNP

  • Family Nurse Practitioner
  • Timonium, MD
National Provider Identifier
1598363194
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R163942 Issued in MD
Practice address
1965 Greenspring Dr Ste G8
Timonium, MD 21093-4137
Phone
(410) 999-0114
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022254 PA
Family Nurse Practitioner 363LF0000X R163942 MD Primary

Addresses

Primary practice location

1965 Greenspring Dr Ste G8
Timonium, MD 21093-4137

Mailing address

315 Lynne Dr
Mount Wolf, PA 17347-9597
Phone (410) 917-6795

Other practice location 1

2645 N 3rd St Fl 1
Harrisburg, PA 17110-2001
Phone (717) 782-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliams226485@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201117000101 PA Practitioner - Nurse Practitioner 6204247661 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R163942MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 16, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 28, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 28, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Nov 16, 2020 Accepting new patients

Locations

1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588

2645 N 3rd St
Fl 1ST
Harrisburg, PA 17110
Phone (717) 782-2326

2645 N 3rd St
Fl 1
Harrisburg, PA 17110
Phone (717) 782-6800

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1598363194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LYNNE DR",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479597",
            "telephone_number": "410-917-6795",
            "fax_number": "717-782-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 GREENSPRING DR STE G8",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934137",
            "telephone_number": "410-999-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 N 3rd St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171102001",
            "country_code": "US",
            "telephone_number": "717-782-6800",
            "fax_number": "717-782-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NAKIA",
        "middle_name": "KEISHANEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R163942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliams226485@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2645 N 3rd St Fl 1",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171102001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.