Active NPI
Hermine Williams
- Certified Registered Nurse Anesthetist
- Temple, TX
National Provider Identifier
1093778607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 576833
- Practice address
- 2401 S 31St St
Temple, TX 76508-0001 - Phone
- (254) 724-2111
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 576833 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0001
Mailing address
1004 S Rock St
Georgetown, TX 78626-5837
Phone (512) 374-1876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030975-02 | Medicaid | TX | |
| 84446U | Other | TX | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Anesthesia Staffing Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Easter Medical Management Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Luling, TX
- NPI 1659319580
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Georgetown, TX
- NPI 1003158627
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1093778607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 S ROCK ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265837",
"telephone_number": "512-374-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HERMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "576833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030975-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "84446U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.