Tiffiny Dawn Williamson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

713717 Issued in TX

Practice address

8810 Highway 6 Ste 100
Missouri City, TX 77459-7104

Phone

(713) 486-1200

Fax

(281) 778-5345

NPI assigned

Sep 20, 2012

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Bryan, TX
  • NPI 1649265646
  Medicare reassignment NPD
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Obstetrics Physician
  • College Station, TX
  • NPI 1811171580
  NPD
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Caldwell, TX
  • NPI 1609150465
  NPD (past)
• South Central Houston Action Council Inc

  dba Central Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1376964858
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1063763860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597104",
            "telephone_number": "713-486-1200",
            "fax_number": "281-778-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597104",
            "telephone_number": "713-486-1200",
            "fax_number": "281-778-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "TIFFINY",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "713717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantayia Williams, LPC-ASSOCIATE
• Tammy Williams, LCSW
• Toni Crane Williams
• Valarie C Williams
• Victoria Williams
• Dashauna Nashay Willis
• Whitnee A Willrich, LPC
• Bobby Wilmore II
• Wilray LLC (RX at Hwy 6)
• Wilson Prosthetics Clinic, LLC

• Family Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.