Active NPI
Katie Burnett Williams, PNP
- Pediatric Nurse Practitioner
- Danville, VA
National Provider Identifier
1154601235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024169525
- Practice address
- 142 S Main St
Danville, VA 24541-2922 - Phone
- (434) 799-4474
- Fax
- (434) 799-4408
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024169525 | VA | Primary |
Addresses
Primary practice location
142 S Main St
Danville, VA 24541-2922
Mailing address
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12264299 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
201 S Main St
Ste 2100
Danville, VA 24541
Phone (434) 799-2111
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1154601235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-4474",
"fax_number": "434-799-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-4474",
"fax_number": "434-799-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KATIE",
"middle_name": "BURNETT",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024169525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12264299",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.