Individual provider Active NPI

Deidra D Williams, FNP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1023318904
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
717510 Issued in TX
Practice address
155 Louetta Crossing
Spring, TX 77373-3007
Phone
(281) 528-0278
Fax
(281) 528-2975
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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 717510 TX Primary

Addresses

Primary practice location

155 Louetta Crossing
Spring, TX 77373-3007

Mailing address

155 Louetta Crossing
Spring, TX 77373-3007
Phone (281) 528-0278

Other names 1

  • Deidra D Parker Former name

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
I20110323000769 TX Practitioner - Nurse Practitioner 6002099363 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
Harris County Hospital DistrictGroup PAC ID 1456346402, 21 clinicians

Practice addresses (Care Compare)

1811 Ruiz St
Houston, TX 77002-1321
Phone (713) 223-8889

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
717510TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Mar 20, 2012 Accepting new patients
Harris County Hospital District CurrentSince Mar 20, 2012 Accepting new patients

Locations

1811 Ruiz St
Houston, TX 77002
Phone (713) 226-5426

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1023318904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LOUETTA CROSSING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773733007",
            "telephone_number": "281-528-0278",
            "fax_number": "281-528-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LOUETTA CROSSING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773733007",
            "telephone_number": "281-528-0278",
            "fax_number": "281-528-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEIDRA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "717510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "PARKER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.