Individual provider Active NPI

Rhys Joseph Williams, NP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1104301787
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28871 Issued in TN
Practice address
4823 Old Kingston Pike Ste 140
Knoxville, TN 37919-6473
Phone
(865) 276-6969
Fax
(702) 805-0299
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28871 TN Primary
Family Nurse Practitioner 363LF0000X 0001252049 VA

Addresses

Primary practice location

4823 Old Kingston Pike Ste 140
Knoxville, TN 37919-6473

Mailing address

3827 N Lafayette St
Denver, CO 80205-3339
Phone (303) 500-1518

Other practice location 1

260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28871TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1104301787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053339",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 OLD KINGSTON PIKE STE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196473",
            "telephone_number": "865-276-6969",
            "fax_number": "702-805-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Pantops Ctr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118601",
            "country_code": "US",
            "telephone_number": "434-244-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RHYS",
        "middle_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28871",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001252049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.