NPIMap

Individual provider Active NPI

Kamie S. Williams, AGNP-C

  • Nurse Practitioner
  • Covington, LA
National Provider Identifier
1689205577
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
210982 Issued in LA
Practice address
120 Lakeview Cir
Covington, LA 70433-7512
Phone
(985) 875-1020
Fax
(985) 875-1205
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 210982 LA Primary

Addresses

Primary practice location

120 Lakeview Cir
Covington, LA 70433-7512

Mailing address

120 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 875-1020

Other practice location 1

15799 Professional Plz
Hammond, LA 70403-1452
Phone (985) 419-0025

Other practice location 2

433 Plaza St Fl 3
Bogalusa, LA 70427-3729
Phone (985) 875-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001862 LA Practitioner - Nurse Practitioner 4284049693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pontchartrain Cancer Center IncGroup PAC ID 6305863580, 4 clinicians

Practice addresses (Care Compare)

15799 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 419-0025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pontchartrain Cancer Center Inc CurrentSince Feb 1, 2021 Accepting new patients
Pontchartrain Cancer Center CurrentSince Feb 2, 2020 Accepting new patients

Locations

1415 Avenue F
Bogalusa, LA 70427
Phone (985) 735-1198

120 Lakeview Cir
Covington, LA 70433
Phone (985) 875-1020

15799 Professional Plz
Hammond, LA 70403
Phone (985) 419-0025

Interoperability endpoints

  • Direct secure messaging: kwilliams5277844@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1689205577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-875-1020",
            "fax_number": "985-875-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-875-1020",
            "fax_number": "985-875-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15799 Professional Plz",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031452",
            "country_code": "US",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-875-1202",
            "fax_number": "985-875-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAMIE",
        "middle_name": "S.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "210982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.