Chivonne Ashley Pierre-Williams, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Iowa, LA
NPI 1174201214 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1174201214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 231556 (LA)
- Practice address
- 203 E Miller Ave Ste B
Iowa, LA 70647-4075 - Phone
- (337) 480-7475
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Charles Medical Services, Inc
Practice addresses (Care Compare)
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3000
203 E Miller Ave
St B
Iowa, LA 70647-4075
Phone (337) 480-7475
203 E Miller Ave St B
Lake Charles, LA 70647-4075
Hospital & facility affiliations
- Lake Charles Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925004183 | LA | Practitioner - Nurse Practitioner | 0446791743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231556 | LA | MD | Family Nurse Practitioner |
| RN152572 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services, Inc | Current |
Accepting new patients | |
| Lake Charles Medical Services, Inc | Current |
Accepting new patients |
Locations
203 E Miller Ave
Ste B
Iowa, LA 70647
Phone (337) 480-7475
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN152572 | LA | |
| Family Nurse Practitioner | 363LF0000X | 231556 | LA | Yes |
Addresses
Primary practice location
203 E Miller Ave Ste B
Iowa, LA 70647-4075
Mailing address
PO Box 123604 Dept 3604
Dallas, TX 75312-0001
Phone (337) 494-2921
Other practice location 1
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 491-7731
Other providers in Iowa, LA
- Jess Andrew Lynn
- Darren Miller
- Jaylin Barkley Miller
- Laureal L Miller
- New Century Health AIDS and Equipment
- Portie NP Services, LLC
- Racca Chiropractic Clinic, L.L.C.
- James Dale Racca
- Clinton Schaefer
- Solutions Pediatric Therapy
All providers in Iowa, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.