Individual provider Active NPI

Nathan Williams, RN

  • Home Health Registered Nurse
  • Richmond, VA
National Provider Identifier
1104244664
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
0001235688 Issued in VA
Practice address
8014 Midlothian Turnpike Suite 202
Richmond, VA 23235
Phone
(804) 525-4068
Fax
(804) 525-4189
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 0001235688 VA
Home Health Registered Nurse 163WH0200X 0001235688 VA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001235688 VA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0001235688 VA

Addresses

Primary practice location

8014 Midlothian Turnpike Suite 202
Richmond, VA 23235

Mailing address

PO Box 75301
North Chesterfield, VA 23236
Phone (804) 943-7358

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001235688VAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gambrell Health Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1104244664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75301",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23236",
            "telephone_number": "804-943-7358",
            "fax_number": "804-525-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 MIDLOTHIAN TURNPIKE SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-525-4068",
            "fax_number": "804-525-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NATHAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001235688",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001235688",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001235688",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001235688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.