Individual provider Active NPI

Sherri Lynn Williams, MSN APN BC

  • Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1043437569
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
43764 Issued in WV
Practice address
12 TH Street
Princeton, WV 24740
Phone
(304) 487-7475
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Xpress Care LLC 16 clinicians

Practice addresses (Care Compare)

919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050211000055 WV Practitioner - Nurse Practitioner 4486606068 Reassigns benefits to 1 organization
I20230110002522 VA Practitioner - Nurse Practitioner 4486606068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC Nurse Practitioner CurrentSince Dec 20, 2022 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Feb 15, 2013 Accepting new patients
Epmg of Virginia P C Past Accepting new patients
Wvva Health Care Alliance, PC PastSince Dec 20, 2022 Accepting new patients

Locations

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

1100 9th St
Ste E
Vienna, WV 26105

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 43764 WV
Nurse Practitioner 363L00000X 43764 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

12 TH Street
Princeton, WV 24740

Mailing address

1019 Meador St
Princeton, WV 24740-2211
Phone (304) 425-6431

Other practice location 1

219 Rock St Bldg Room210
Bluefield, WV 24701-2100
Phone (304) 327-4170

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2021.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1043437569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MEADOR ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402211",
            "telephone_number": "304-425-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TH STREET",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Rock St Bldg Room210",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247012100",
            "country_code": "US",
            "telephone_number": "304-327-4170",
            "fax_number": "304-327-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN APN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "43764",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "43764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.