Kaitlin Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

63623 Issued in CA

Practice address

601 E Arrellaga St Ste 101
Santa Barbara, CA 93103-2275

Phone

(805) 687-5538

Fax

(805) 687-5530

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kaitlin Lloyd Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Physician Assistant

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.

• Alexis Dougherty, Inc

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1568832657
  Medicare reassignment

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1710612411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931161206",
            "telephone_number": "805-687-5538",
            "fax_number": "805-387-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ARRELLAGA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032275",
            "telephone_number": "805-687-5538",
            "fax_number": "805-687-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "63623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "LLOYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry Richmond Williams, M.D.
• Danah Alexandra Williams, MFT
• Garrick Williams
• James J. Williams, M.D.
• Jonnie Reinhold Williams, PSY.D.
• Lauren Williams, AMFT
• Michelle R Williams
• Monica Williams, MD
• Natalie Holder Williams
• Nyssa Antoinette Williams

• Physician Assistant in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.