Stephanie K Williams, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP05038 Issued in LA

Practice address

208 Morris Drive
Minden, LA 71055

Phone

(318) 377-8260

Fax

(318) 377-9053

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Family ClinicGroup PAC ID 1254660525, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegiance Home Health of Northwest la Home health agency, Minden, LA, CCN 197211
• Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
• Minden Medical Center Hospital, Minden, LA, CCN 190144

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: premierfamilyclinic.stephaniewilliams@132217.advancedmd-direct.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CGIECA

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.

• Premier Family Clinic

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1003469479
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Home Health Care, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1487625455
  Care Compare affiliation
• CLHG - Minden, LLC

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation
• Stat Home Health of Northwest Louisiana, LLC

  • Home Health Agency
  • Sibley, LA
  • NPI 1508898008
  Care Compare affiliation

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1023200060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MORRIS DRIVE",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MORRIS DRIVE",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8260",
            "fax_number": "318-377-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05038",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN107044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034975",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Welch
• Robert Javan Whitaker Sr., LPC
• Alycia Parker Williams, PA
• Patricia Gal Williams, LCSW
• Rosalyn Williams, MA
• Willis Consulting
• Mark Douglas Wilson, M.D.
• Anjill Winzer
• Alexis Dione Young, LCSW
• Deborah R Youngblood, LCSW

• Family Nurse Practitioner in Minden, LA
• Providers in Minden, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.

Verify at the official NPI Registry.