Individual provider Active NPI

Anganatte Nicole Williams, MSN, CRNP, FNP-C

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1124586086
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-137652 Issued in AL
Practice address
2318 St. Stephens Rd
Mobile, AL 36617
Phone
(251) 308-5689
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903475 MS
Nurse Practitioner 363L00000X 1-137652 AL Primary

Addresses

Primary practice location

2318 St. Stephens Rd
Mobile, AL 36617

Mailing address

PO Box 22389
PMB 82739
Nashville, TN 37202
Phone (866) 315-2626

Other practice location 1

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5510

Other identifiers 1

IdentifierTypeStateIssuer
03006815MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190917002450 MS Practitioner - Nurse Practitioner 4880923861 Reassigns benefits to 5 organizations
I20210212000822 AL Practitioner - Nurse Practitioner 4880923861 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1317
Phone (203) 666-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903475MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Sage Health Mississippi LLC CurrentSince Aug 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Singing River Health System CurrentSince Sep 1, 2019 Accepting new patients
Sage Health Alabama LLC CurrentSince May 1, 2023 Accepting new patients
Traditions Hospice of Biloxi, LLC CurrentSince Sep 16, 2020 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 2, 2020 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Serenity at Grace Haven Senior Community Current Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince May 28, 2025 Accepting new patients
Singing River Health System CurrentSince Sep 1, 2019 Accepting new patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Sage Health Maryland LLC PastSince Dec 17, 2023 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689

99 Hawley Ln
Ste 1102
Stratford, CT 06614

243 Beauvoir Rd
#B
Biloxi, MS 39531
Phone (228) 207-0390

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

645 Lakeland East Dr
#101
Flowood, MS 39232
Phone (678) 987-1765

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

117 Hardy Court Shopping Ctr
Gulfport, MS 39507
Phone (228) 678-2459

105 Hardy Court Shopping Ctr
Ste 117
Gulfport, MS 39507
Phone (228) 678-2459

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3704 Bienville Blvd
#A3
Ocean Springs, MS 39564
Phone (228) 207-0390

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

8150 N Central Expy
Ste 1800
Dallas, TX 75206
Phone (469) 501-1602

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: anganatte.williams.p1@direct.cfhc.nextgenshare.com
  • Direct secure messaging: anganattenicole.williams.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: anganatte.williams.1@27478.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1124586086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22389",
            "address_2": "PMB 82739",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37202",
            "telephone_number": "866-315-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 ST. STEPHENS RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "251-308-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 Denny Ave",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815301",
            "country_code": "US",
            "telephone_number": "228-809-5510",
            "fax_number": "228-809-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGANATTE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903475",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-137652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03006815",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.