Kelli Monique Williams, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP70130110 Issued in WA

Practice address

16000 Christensen Rd Ste 200
Tukwila, WA 98188-2925

Phone

(702) 589-4871

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Heaven on Earth Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosenburg, TX
  • NPI 1851014955
  NPD Authorized official
• Oregon Behavioral Health Solutions, LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1992525620
  Medicare reassignment

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1740903848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 DOWNING ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692387",
            "telephone_number": "281-677-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6003 SE 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972364567",
            "country_code": "US",
            "telephone_number": "702-589-4872",
            "fax_number": "702-589-4872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9131 Downing St",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774692387",
            "country_code": "US",
            "telephone_number": "281-677-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLI",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1232958",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70130110",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10061799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Thompson DDS PS
• Saara Williams-Majid, MSWC
• Helen Williams, PTA
• Jeanette Marie Williams
• Kaliandra Williams
• Laticia Rena Williams
• Marlencia Jean Williams, LICSW
• Ramani Willis
• Joanna Wilner
• Jack Wilske

• Psychiatric/Mental Health Nurse Practitioner in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.