Kenya Shannise Williams, FNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

APRN-NP293489 Issued in GA

Practice address

11113 Houze Rd Ste 150
Roswell, GA 30076-1495

Phone

(470) 395-2510

NPI assigned

Nov 25, 2025

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 GA

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

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.

• Blue Summit Palliative Care LLC

  • Case Management Agency
  • Roswell, GA
  • NPI 1841017985
  NPD

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1982566121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 PRETTY VIEW LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11113 HOUZE RD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761495",
            "telephone_number": "470-395-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENYA",
        "middle_name": "SHANNISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "APRN-NP293489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daviona Williams, RBT
• Deshawn Williams, APRN
• Elizabeth Williams
• Elizabeth Ann Williams, BSN, RN
• Juanell Williams, RBT
• Korina Williams, RBT
• Margaret Ellen Williams, PHD, RN, APRN, BC
• Natalie Williams, DPT
• Peter J Williams, DC
• Sheryl Williams, CPE

• Registered Nurse in Roswell, GA
• Providers in Roswell, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.