Individual provider Active NPI

Chelan Marie Williams, MSN FNP

  • General Practice Registered Nurse
  • McAllen, TX
National Provider Identifier
1093004145
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
591565 Issued in TX
Practice address
2013 Verdin Ave
McAllen, TX 78504-5605
Phone
(956) 867-7877
Fax
(956) 630-1363
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 591565 TX Primary
Hospice Registered Nurse 163WH1000X 591565 TX
Pain Management Registered Nurse 163WP0000X 591565 TX
Oncology Registered Nurse 163WX0200X 591565 TX

Addresses

Primary practice location

2013 Verdin Ave
McAllen, TX 78504-5605

Mailing address

2013 Verdin Ave
McAllen, TX 78504-5605
Phone (956) 867-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
591565TXMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1093004145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 VERDIN AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045605",
            "telephone_number": "956-867-7877",
            "fax_number": "956-630-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 VERDIN AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045605",
            "telephone_number": "956-867-7877",
            "fax_number": "956-630-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHELAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "591565",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "591565",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "TX",
            "license": "591565",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "TX",
            "license": "591565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.