Individual provider Active NPI

Kishma Natasha Williams, FNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1811286123
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11012389 Issued in FL
Practice address
509 S Semoran Blvd
Orlando, FL 32807-4334
Phone
(407) 277-0550
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04180168 MD
Family Nurse Practitioner 363LF0000X F343982 NY
Nurse Practitioner 363L00000X APRN11012389 FL Primary

Addresses

Primary practice location

509 S Semoran Blvd
Orlando, FL 32807-4334

Mailing address

14204 Colonial Lakes Dr
Orlando, FL 32826-5068
Phone (347) 382-2977

Other identifiers 2

IdentifierTypeStateIssuer
APRN11012389OtherFLFLORIDA NP LICENSE
F04180168OtherMDNP CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20190402001569 NY Practitioner - Nurse Practitioner 5395086284 Reassigns benefits to 7 organizations
I20230227001151 FL Practitioner - Nurse Practitioner 5395086284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians
Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

509 S Semoran Blvd
Orlando, FL 32807-4334
Phone (407) 200-2300

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11012389FLMDNurse Practitioner
F04180168MDMDNurse Practitioner
F343982NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jul 22, 2019 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Feb 3, 2023 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 19, 2019 Accepting new patients
BP Immediate Medical Care, PC CurrentSince Mar 1, 2020 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Feb 3, 2023 Accepting new patients
Essen Medical Associates,PC CurrentSince Feb 19, 2019 Accepting new patients
Beacon Health Medical PC CurrentSince Oct 1, 2025 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Jul 22, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 19, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Feb 19, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 22, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

509 S Semoran Blvd
Orlando, FL 32807
Phone (407) 247-7803

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Interoperability endpoints

  • Direct secure messaging: kwilliams1262087@adventhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1811286123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 COLONIAL LAKES DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265068",
            "telephone_number": "347-382-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074334",
            "telephone_number": "407-277-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KISHMA",
        "middle_name": "NATASHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "F04180168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343982",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA NP LICENSE",
            "identifier": "APRN11012389",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATION",
            "identifier": "F04180168",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.