Active NPI
Tina Denise Williams, FNP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 146549
- Practice address
- 3385 Airways Blvd Ste 304
Memphis, TN 38116-3841 - Phone
- (901) 746-8078
- Fax
- (901) 746-8943
- NPI assigned
- Dec 3, 2009
- Last updated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A810532 | MS | |
| Family Nurse Practitioner | 363LF0000X | 146549 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 151209 | TN |
Addresses
Primary practice location
3385 Airways Blvd Ste 304
Memphis, TN 38116-3841
Mailing address
PO Box 161406
Memphis, TN 38186-1406
Phone (901) 746-8078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528450 | Medicaid | TN | |
| Q022344 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3385 Airways Blvd
Suite 304
Memphis, TN 38116-3806
Phone (901) 746-8078
3385 Airways Blvd
Suite 304
Memphis, TN 38116-3841
Phone (901) 746-8018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A810532 | MS | MD | Family Nurse Practitioner |
| 146549 | TN | MD | Family Nurse Practitioner |
| 151209 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Williams Comprehensive Healthcare | Family | Current | Accepting new patients |
| Adult Primary Care of Memphis PC | Past | Accepting new patients |
Locations
7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
1331 Union Ave
Ste 1240
Memphis, TN 38104
Phone (865) 525-1540
3385 Airways Blvd
Ste 304
Memphis, TN 38116
Phone (901) 746-8018
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
Interoperability endpoints
- wchc@williamscomprehensivehc.kareodirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1902269699
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1194839241
-
dba Methodist Minor Medical Olive Branch
- Urgent Care Clinic/Center
- Olive Branch, MS
- NPI 1821272501
-
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1326152455
-
dba MHCCA Health Screening
- Corporate Health Clinic/Center
- Memphis, TN
- NPI 1699941195
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
dba Homechoice Health Services
- Home Health Agency
- Memphis, TN
- NPI 1295911774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1154659100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161406",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381861406",
"telephone_number": "901-746-8078",
"fax_number": "901-746-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 AIRWAYS BLVD STE 304",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381163841",
"telephone_number": "901-746-8078",
"fax_number": "901-746-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TINA",
"middle_name": "DENISE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "A810532",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "146549",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "151209",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528450",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022344",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.