Individual provider Active NPI

Joanna Rife Williams, PH.D.

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1003934753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0000001343 Issued in TN
Practice address
305 Westfield Dr
Knoxville, TN 37919-4824
Phone
(865) 584-8547
Fax
(865) 584-5932
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0000001343 TN Primary

Addresses

Primary practice location

305 Westfield Dr
Knoxville, TN 37919-4824

Mailing address

305 Westfield Dr
Knoxville, TN 37919-4824
Phone (865) 584-8547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000586 TN Practitioner - Clinical Psychologist 6901977685 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Farragut Commons Dr
Knoxville, TN 37934-1672
Phone (865) 414-8157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0000001343TNMDClinical Psychologist
1343TNMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003934753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WESTFIELD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194824",
            "telephone_number": "865-584-8547",
            "fax_number": "865-584-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WESTFIELD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194824",
            "telephone_number": "865-584-8547",
            "fax_number": "865-584-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOANNA",
        "middle_name": "RIFE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "0000001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.