MRS. KRISTI ANN WILLIAMS PMHNP RN NPI 1003970583

NPI Information

NPI: 1003970583
Provider Name: MRS. KRISTI ANN WILLIAMS, PMHNP, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
10373 NE HANCOCK ST
PORTLAND, OR
ZIP 97220
Phone: (503) 261-6179
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MRS. Kristi Ann Williams, PMHNP, RN is a psychiatric/mental health nurse practitioner in Portland, OR. MRS. Kristi Ann Williams, PMHNP, RN NPI is 1003970583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10373 NE HANCOCK ST
PORTLAND, OR
ZIP 97220-873
Phone: (503) 261-6179
Fax: (503) 253-8020

The enumeration date for this NPI number is 12/20/2006 and was last updated on 4/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	082012779N6	OREGON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	082012779N6	OREGON	No
3	363LC1500X	Nurse Practitioner	Community Health	082012779N6	OREGON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	082012779N6	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	069096	MEDICAID	OREGON
2	S71512	MEDICARE UPIN
3	114744	MEDICARE ID-TYPE UNSPECIFIED	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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