Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ann Williams, FNP-BC

Individual provider Registered Nurse · NPI 1972844371

Kelly Ann Williams, FNP-BC is a Nurse Practitioner in Harbor City, California. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
12
Licensed in
CA, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1050 Pacific Coast Hwy
Harbor City, CA 90710-3509
Phone: (424) 328-2689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95000585 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 657411-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 852291 (CA)

Record details

NPI number1972844371
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 9, 2013
Last updated in NPPESDecember 4, 2021
Certification dateDecember 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Harbor City