Angela Dawn Williams, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22993 Issued in TN

Practice address

5321 Beverly Park Cir
Knoxville, TN 37918-9253

Phone

(865) 687-1321

NPI assigned

Sep 19, 2017

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Ultacare Medical PLLC

  dba Dr. Hasemeier & Associates

  • Family Medicine Physician
  • New Tazewell, TN
  • NPI 1225141492

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Margaret Heffernan Bonifacio

  dba Bonifacio Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
  • NPI 1487096376
  Medicare reassignment NPD
• Coffee Medical Group LLC

  dba Center for Family Medicine

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1023537248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 118",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114724",
            "telephone_number": "720-638-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 BEVERLY PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253",
            "telephone_number": "865-687-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Generation Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378218018",
            "country_code": "US",
            "telephone_number": "423-623-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22993",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "22993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Martinez Williams
• Alexandria Williams
• Alexandria Lexus Williams, PHARMD
• Aliza Tess Williams, DO
• Alkiva Nicole Williams
• Ashley Williams, BA
• Ashley Dawn Williams, LMFT
• Ashley Dawn Williams, FNP
• Ashley Lynne Williams, LPC, MHSP
• Brandon Williams, B.A.

• Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.