Glenda Rivers Williams, FNP-BC

Primary specialty

SpecialistTaxonomy code 174400000X

License

F19931 Issued in SC

Practice address

4600 Goer Dr
Suite 205
North Charleston, SC 29406-6500

Phone

(843) 554-1029

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fetter Health Care Network, Inc.

  dba Fetter Health Care Network-Downtown Site

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  dba TJ Bell Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1518454818
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  dba R.D. Gibbs Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Moncks Corner, SC
  • NPI 1659872059
  Medicare reassignment NPD
• Fetter Health Care Network, Inc.

  dba One 80 Place

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1982124301
  Medicare reassignment NPD
• Fetter Health Care Network Inc

  dba Fetter Health Care Network-ElijahWright Site

  • Federally Qualified Health Center (FQHC)
  • Cross, SC
  • NPI 1396859823
  NPD

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1124579040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 GINGLIS WAY",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647748",
            "telephone_number": "843-813-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GOER DR",
            "address_2": "SUITE 205",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066500",
            "telephone_number": "843-554-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GLENDA",
        "middle_name": "RIVERS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "F19931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Williams, RN, BSN
• Chrislyn Courtney Williams, BA IN SOCIOLOGY
• Daniel Alden Williams, MD
• Emily Schaffer Williams, DPT
• Franklin Williams
• Khadajah Williams
• Lawrence Williams, D.O.
• Sarah Ellen Williams, MD
• Shalena B Williams, LMSW
• Shamya Williams

• Specialist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.