NPIMap

Individual provider Active NPI

Kathleen Ann Williams, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1699338137
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007190 Issued in CO
Practice address
500 E Hampden Ave Ste 200
Englewood, CO 80113-2885
Phone
(303) 783-8844
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA9113357 FL
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA.0007190 CO Primary

Addresses

Primary practice location

500 E Hampden Ave Ste 200
Englewood, CO 80113-2885

Mailing address

828 N Broadway Apt 311
Denver, CO 80203-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220510002383 CO Practitioner - Physician Assistant 0648694729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro on Call PLLCGroup PAC ID 0345414942, 10 clinicians
Colorado Brain and Spine Institute, PLLCGroup PAC ID 2769488329, 11 clinicians

Practice addresses (Care Compare)

3501 S Clarkson St
Englewood, CO 80113-3916

3511 S Clarkson St
Englewood, CO 80113-3916
Phone (303) 783-8844

500 E Hampden Ave
Suite 200
Englewood, CO 80113-2885
Phone (303) 783-8855

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
75.39
Promoting interoperability
100
Improvement activities
40
Cost
55.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0007190COMDPhysician Assistant
PA9113357FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kathleen.williams.1@19890.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1699338137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N BROADWAY APT 311",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132885",
            "telephone_number": "303-783-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113357",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.