Active NPI
Kayontae Williams, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kenner, LA
National Provider Identifier
1689084832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 231737
- Practice address
- 3610 S Loyola Dr
Apt 383
Kenner, LA 70065-6415 - Phone
- (985) 224-9759
- NPI assigned
- Apr 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 231737 | LA | Primary |
Addresses
Primary practice location
3610 S Loyola Dr
Apt 383
Kenner, LA 70065-6415
Mailing address
401 Edwards Street Ste 830
539
Shreveport, LA 71101
Phone (225) 351-1506
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231737 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Solace Psychiatric Services | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
401 Edwards St
Ste 830
Shreveport, LA 71101
Phone (225) 351-1506
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
- NPI 1114740354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1689084832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 EDWARDS STREET STE 830",
"address_2": "539",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71101",
"telephone_number": "225-351-1506",
"fax_number": "225-267-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 S LOYOLA DR",
"address_2": "APT 383",
"city": "KENNER",
"state": "LA",
"postal_code": "700656415",
"telephone_number": "985-224-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAYONTAE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "231737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.