Individual provider Active NPI

Chivonne Ashley Pierre-Williams, APRN, FNP-C

  • Family Nurse Practitioner
  • Iowa, LA
National Provider Identifier
1174201214
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231556 Issued in LA
Practice address
203 E Miller Ave Ste B
Iowa, LA 70647-4075
Phone
(337) 480-7475
NPI assigned
Jul 10, 2023
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 RN152572 LA
Family Nurse Practitioner 363LF0000X 231556 LA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240925004183 LA Practitioner - Nurse Practitioner 0446791743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Medical Services, IncGroup PAC ID 1456315050, 2 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
231556LAMDFamily Nurse Practitioner
RN152572LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services, Inc CurrentSince Sep 15, 2024 Accepting new patients
Lake Charles Medical Services, Inc CurrentSince Sep 30, 2024 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1174201214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123604 DEPT 3604",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MILLER AVE STE B",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706474075",
            "telephone_number": "337-480-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Dr Michael Debakey Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015725",
            "country_code": "US",
            "telephone_number": "337-491-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE-WILLIAMS",
        "first_name": "CHIVONNE",
        "middle_name": "ASHLEY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN152572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa, LA

Sources for this page

Verify at the official NPI Registry.