Kathleen Judith Williams – Family Nurse Practitioner

Key facts

NPI: 1740909225
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: SP026134 (PA)
Practice address: 648 N Main St
Taylor, PA 18517-1112
Phone: (570) 348-1101
NPI assigned: Aug 26, 2022
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Redi Care Physicians, Inc General Practice Physician · Easton, PA · NPI 1568417418

Medicare reassignment Care Compare group NPD PA

Hospital & facility affiliations 2

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

Scranton Hospital Company LLC Ambulatory Surgical Clinic/Center · Scranton, PA · NPI 1740566595

Care Compare affiliation Hospital
Scranton Hospital Company LLC General Acute Care Hospital · Scranton, PA · NPI 1881983039

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Redi Care Physicians, Inc (3 clinicians)

Practice addresses (Care Compare)

648 N Main St
Taylor, PA 18517-1112
Phone (570) 348-1101

Hospital & facility affiliations

Regional Hospital of Scranton Hospital · Scranton, PA · CCN 390237

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230601000221	PA	Practitioner - Nurse Practitioner	0840657144	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
SP026134	PA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Redi Care Physicians, Inc		Current since May 15, 2023	Accepting new patients

Locations

2461 Nazareth Rd
Easton, PA 18045
Phone (610) 252-1020

648 N Main St
Taylor, PA 18517
Phone (570) 348-1101

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	SP026134	PA	Yes

Addresses

Primary practice location

648 N Main St
Taylor, PA 18517-1112

Mailing address

908 Snyder Ave
Scranton, PA 18504-3153
Phone (570) 309-7195

Other providers in Taylor, PA

All providers in Taylor, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.