Individual provider Active NPI

Leah Shea Williamson

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1114406311
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-111663 Issued in AL
Practice address
301 E 18TH St
Anniston, AL 36207-3952
Phone
(615) 663-4264
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-111663 AL Primary

Addresses

Primary practice location

301 E 18TH St
Anniston, AL 36207-3952

Mailing address

2597 County Road 13
Heflin, AL 36264-3522
Phone (256) 610-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181115002069 AL Practitioner - Nurse Practitioner 0244584936 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-111663ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Alabama Ed PLLC CurrentSince Aug 7, 2018 Accepting new patients
Southern Immediate Care, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1114406311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 COUNTY ROAD 13",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362643522",
            "telephone_number": "256-610-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 18TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073952",
            "telephone_number": "615-663-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LEAH",
        "middle_name": "SHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-111663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.