Keesha P Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

239756 Issued in LA

Practice address

203 Allendale Dr
Port Allen, LA 70767-3219

Phone

(225) 389-1311

Fax

(225) 389-1330

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By 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

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Providers for a Healthy Feliciana, IncGroup PAC ID 1052220985, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keesha.williams.p1@direct.rkmprimarycare.nextgenshare.com

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.

• Primary Care Providers for a Healthy Feliciana, Inc.

  dba Clinton Lower Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1821245127
  Medicare reassignment Care Compare group NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  dba RKM at Springfield Elementary

  • Federally Qualified Health Center (FQHC)
  • Springfield, LA
  • NPI 1326923384
  NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  dba WBR Primary Care

  • Federally Qualified Health Center (FQHC)
  • Port Allen, LA
  • NPI 1770760902
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1972300309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ALLENDALE DR",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707673219",
            "telephone_number": "225-389-1311",
            "fax_number": "225-389-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEESHA",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.