Healthcare Provider Details

I. General information

NPI: 1033637020
Provider Name (Legal Business Name): YAMILA WILLIAMS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E LOULA ST STE 202
OLATHE KS
66061-3459
US

IV. Provider business mailing address

15480 W INDIAN CREEK PKWY
OLATHE KS
66062-9082
US

V. Phone/Fax

Practice location:
  • Phone: 913-430-9286
  • Fax: 662-776-8154
Mailing address:
  • Phone: 215-266-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2017030712
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2017030712
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5377838091
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number53-77838-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: