IndividualActive
Kenyetta Ellis-Williams
NPI 1104713403 · Registered Nurse · Baltimore, MD
Kenyetta Ellis-Williams is a Registered Nurse provider in Baltimore, MD (NPI 1104713403).
Provider details
- NPI number
- 1104713403
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R225384 (MD)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4901 Spring Garden Dr Ste Ll
Baltimore, MD 21209-4670
Phone: (410) 812-4253
Fax: (443) 249-9951
Street-level locationGet directions
Mailing address
4901 Spring Garden Dr Ste Ll
Baltimore, MD 21209-4670
Registry dates
- Enumerated
- 2025-06-19
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Frequently asked questions
- What is Kenyetta Ellis-Williams's NPI number?
- Kenyetta Ellis-Williams's National Provider Identifier (NPI) is 1104713403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenyetta Ellis-Williams's specialty?
- Kenyetta Ellis-Williams is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kenyetta Ellis-Williams located?
- Kenyetta Ellis-Williams's practice location on file with NPPES is 4901 Spring Garden Dr Ste Ll, Baltimore, MD 21209-4670.
- What is Kenyetta Ellis-Williams's phone number?
- The practice phone number listed in the NPPES registry for Kenyetta Ellis-Williams is (410) 812-4253.
- Is Kenyetta Ellis-Williams's NPI active?
- Yes — Kenyetta Ellis-Williams's NPI (1104713403) is active in the NPPES registry as of the last update on 2025-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.