Kirby Patmon Williams, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024169727 Issued in VA

Practice address

107 S 5TH St
Richmond, VA 23219

Phone

(804) 819-4000

NPI assigned

Dec 5, 2011

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kirby Patmon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Beacon Behavioral Health and Consulting, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1508598228
  NPD Authorized official
• Richmond Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1184715328
  NPD
• The Cross-Over Ministry Inc.

  dba Crossover Healthcare Ministry

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1164746467
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1700154879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 EDGEWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 5TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23219",
            "telephone_number": "804-819-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Quioccasin Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23229",
            "country_code": "US",
            "telephone_number": "804-622-0803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Cowardin Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232242020",
            "country_code": "US",
            "telephone_number": "804-233-5016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Quioccasin Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23229",
            "country_code": "US",
            "telephone_number": "804-622-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIRBY",
        "middle_name": "PATMON",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024169727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirby.patmon@rbha.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "107 S 5th St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232193825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRBY",
            "last_name": "PATMON",
            "prefix": "MS.",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Newsome Williams, OTR/L
• Jennifer Williams
• Jonathan Knox Williams, MMT, MT-BC
• Kathryn Williams
• Kimberley D Williams, NURSE PRACTITIONER
• Lakesha Monique Williams, MA LMHP-R
• Mable Williams, RN
• Mandy Williams, AU.D.
• Marchelle Williams
• Marcy Williams, MBA

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.