Individual provider Active NPI

Callie M Williams, DNP, ARNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Altoona, IA
National Provider Identifier
1073006698
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C141543 Issued in IA
Practice address
700 1St Ave S Ste B
Altoona, IA 50009-1717
Phone
(515) 967-8887
Fax
(833) 913-0981
NPI assigned
Jun 8, 2018
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C141543 IA Primary

Addresses

Primary practice location

700 1St Ave S Ste B
Altoona, IA 50009-1717

Mailing address

700 1St Ave S Ste B
Altoona, IA 50009-1717
Phone (515) 967-8887

Other practice location 1

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6161

Other identifiers 1

IdentifierTypeStateIssuer
C141543OtherIAARNP LICENSE

Other names 1

  • Callie Marie Adreon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180813001411 IA Practitioner - Nurse Practitioner 5991053647 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C141543IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jul 23, 2018 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jul 23, 2018 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Aug 13, 2018 Accepting new patients
Be Well Pediatrics, P.L.C CurrentSince Oct 1, 2021 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Unitypoint Health - Marshalltown Past Accepting new patients

Locations

204 8th St SE
Ste A
Altoona, IA 50009
Phone (515) 266-6587

700 1st Ave S
Ste B
Altoona, IA 50009
Phone (515) 967-8887

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1200 Pleasant St
Ste S228
Des Moines, IA 50309

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

1307 S Broadway St
Uppr
Toledo, IA 52342
Phone (641) 484-5445

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: callie.williams.1@25081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25081/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1073006698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 1ST AVE S STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091717",
            "telephone_number": "515-967-8887",
            "fax_number": "833-913-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 1ST AVE S STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091717",
            "telephone_number": "515-967-8887",
            "fax_number": "833-913-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091406",
            "country_code": "US",
            "telephone_number": "515-241-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CALLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C141543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "C141543",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "700 1st Ave S Ste B",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500091717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "ADREON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.