Individual provider Active NPI

Annette Diane Williamson, ARNP, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1003127143
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1042904 Issued in TX
Practice address
2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204
Phone
(817) 328-3320
Fax
(817) 328-3325
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1042904 TX Primary

Addresses

Primary practice location

2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204

Mailing address

1005 Springdale Rd
Bedford, TX 76021-4259
Phone (816) 882-7621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020001113 TX Practitioner - Nurse Practitioner 9830426303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

5076 W Plano Pkwy
Plano, TX 75093-5009
Phone (972) 733-0095

540 Surf St
Lewisville, TX 75067-3526
Phone (972) 420-9900

642 Uptown Blvd
Suite 100
Cedar Hill, TX 75104-3520
Phone (972) 637-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1042904TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Dec 24, 2024 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Oct 1, 2021 Accepting new patients
Primamed Physicians PLLC CurrentSince Dec 24, 2024 Accepting new patients
Citimed, P.a. Past Accepting new patients
Caritas Clinics Inc Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

2205 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 328-3320

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

Interoperability endpoints

  • Direct secure messaging: annette.williamsonfnp.p11@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/282ac7c4-9db7-44ff-9e15-9477722bfca6/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1003127143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SPRINGDALE RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214259",
            "telephone_number": "816-882-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772204",
            "telephone_number": "817-328-3320",
            "fax_number": "817-328-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANNETTE",
        "middle_name": "DIANE",
        "credential": "ARNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1042904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.