MRS. KELLIE SUE WILLIAMS NP-C NPI 1992006506

NPI Information

  • NPI: 1992006506
  • Provider Name: MRS. KELLIE SUE WILLIAMS, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 828 E SAVOY ST
    LECANTO, FL
    ZIP 34461
  • Phone: (404) 357-6946

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NPI Details

MRS. Kellie Sue Williams, NP-C is a family nurse practitioner in Lecanto, FL with 18 years of experience. MRS. Kellie Sue Williams, NP-C NPI is 1992006506. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

828 E SAVOY ST
LECANTO, FL
ZIP 34461-766
Phone: (404) 357-6946

The NPI 1992006506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 1/23/2023.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)APRN11012874FLORIDANo
2363L00000XNurse PractitionerRN094494NPGEORGIANo
3363LF0000XNurse PractitionerFamilyAPRN11012874FLORIDAYes

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 Other Provider Identifier Issuer
11992006506MEDICAIDGEORGIA
2XJYGAOTHERFLORIDABLUE SHIELD
3110883800MEDICAIDFLORIDA

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: 11/21/2025

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