Individual provider Active NPI

Tanya Kay Williams, FNP-C

  • Family Nurse Practitioner
  • Chelsea, AL
National Provider Identifier
1144054529
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07240382 Issued in AL
Practice address
105 Chesser Loop Rd
Chelsea, AL 35043-8327
Phone
(256) 786-0655
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 F07240382 AL Primary

Addresses

Primary practice location

105 Chesser Loop Rd
Chelsea, AL 35043-8327

Mailing address

105 Chesser Loop Rd
Chelsea, AL 35043-8327
Phone (256) 786-0655

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
I20241024000751 AL Practitioner - Nurse Practitioner 8224561675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Select LLCGroup PAC ID 1153716170, 7 clinicians

Practice addresses (Care Compare)

881 3Rd St NE
Alabaster, AL 35007-8954
Phone (205) 620-8500

Hospital & facility affiliations

  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F07240382ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Select LLC CurrentSince Sep 17, 2024 Accepting new patients
Shelby Ridge Acquisition Corporation PastSince Sep 17, 2024 Accepting new patients

Locations

750 AL Highway 75 N
Albertville, AL 35951
Phone (253) 362-4197

22444 US Highway 431
Guntersville, AL 35976
Phone (256) 289-3946

100 Perry Hill Rd
Ste 575
Montgomery, AL 36109
Phone (334) 290-9333

616 Chaffee St
Talladega, AL 35160
Phone (256) 362-0291

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25773/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tanya.williams.1@25773.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1144054529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHESSER LOOP RD",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438327",
            "telephone_number": "256-786-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESSER LOOP RD",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438327",
            "telephone_number": "256-786-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANYA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F07240382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

Verify at the official NPI Registry.