Individual provider Active NPI

Katie Lorraine Williamson, FNP

  • Family Nurse Practitioner
  • Orange, TX
National Provider Identifier
1114654035
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088795 Issued in TX
Practice address
3727 N 16TH St
Orange, TX 77632-4690
Phone
(409) 832-8338
Fax
(409) 910-2061
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 1088795 TX Primary

Addresses

Primary practice location

3727 N 16TH St
Orange, TX 77632-4690

Mailing address

3727 N 16TH St
Orange, TX 77632-4690
Phone (409) 832-8338

Other practice location 1

395 N Main St
Vidor, TX 77662-4935
Phone (409) 783-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240103004852 TX Practitioner - Nurse Practitioner 1456702489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Area Network IncGroup PAC ID 3870502339, 5 clinicians
Michael K Crossley, M D P aGroup PAC ID 7719154475, 3 clinicians

Practice addresses (Care Compare)

3727 N 16TH St
Orange, TX 77632-4690
Phone (409) 920-4223

395 N Main St
Vidor, TX 77662-4935
Phone (409) 783-2277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Area Network Inc Family CurrentSince Sep 23, 2024 Accepting new patients
Michael K Crossley, M D P a CurrentSince Jan 1, 2024 Accepting new patients

Locations

1495 N 7th St
Beaumont, TX 77702
Phone (409) 832-3377

3727 N 16th St
Orange, TX 77632
Phone (409) 920-4223

395 N Main St
Vidor, TX 77662
Phone (409) 769-1680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGFEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGEDD/Endpoint/JBGEDD

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1114654035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776324690",
            "telephone_number": "409-832-8338",
            "fax_number": "409-910-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776324690",
            "telephone_number": "409-832-8338",
            "fax_number": "409-910-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776624935",
            "country_code": "US",
            "telephone_number": "409-783-2277",
            "fax_number": "409-783-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KATIE",
        "middle_name": "LORRAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.