Active NPI
Douglas Williams, ARNP
- Nurse Practitioner
- Burkesville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004378
- Practice address
- 299A Glasgow Rd
Burkesville, KY 42717-9696 - Phone
- (270) 864-2555
- Fax
- (270) 864-3777
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3004378 | KY | Primary |
Addresses
Primary practice location
299A Glasgow Rd
Burkesville, KY 42717-9696
Mailing address
7001 Celina Road
Burkesville, KY 42717
Phone (270) 433-1241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78014073 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511
Hospital & facility affiliations
- Lifeline Health Care of Pulaski
- Cumberland County Hospital
- The Medical Center at Albany
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.47 of 100
- Quality
- 85.04
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004378 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital Association Inc | Current | Accepting new patients | |
| Cumberland County Hospital Association Inc | Nurse Practitioner | Current | Accepting new patients |
| Cumberland County Hospital Association Inc | Past | Accepting new patients |
Locations
333 Keen St
Burkesville, KY 42717
Phone (270) 864-3371
299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511
299A Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2555
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Burkesville, KY
- NPI 1073567608
Nurse Practitioner
-
- Land Ambulance
- Burkesville, KY
- NPI 1447607759
-
- Rural Health Clinic/Center
- Burkesville, KY
- NPI 1114937208
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Albany, KY
- NPI 1598125502
-
- Critical Access Hospital
- Burkesville, KY
- NPI 1073567608
-
- Home Health Agency
- Somerset, KY
- NPI 1114951993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1013944800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 CELINA ROAD",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "42717",
"telephone_number": "270-433-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299A GLASGOW RD",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427179696",
"telephone_number": "270-864-2555",
"fax_number": "270-864-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DOUGLAS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78014073",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burkesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.