Individual provider Active NPI

Linda Fay Williams, APN

  • Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1184009649
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20142 Issued in TN
Practice address
2805 Charles Bryan Rd
Bartlett, TN 38134-4756
Phone
(901) 237-4132
Fax
(800) 218-2701
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20142 TN Primary

Addresses

Primary practice location

2805 Charles Bryan Rd
Bartlett, TN 38134-4756

Mailing address

4261 Steffan Woods CV
Bartlett, TN 38135-9197
Phone (901) 237-4132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170207002664 TN Practitioner - Nurse Practitioner 2769798446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1184009649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 STEFFAN WOODS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381359197",
            "telephone_number": "901-237-4132",
            "fax_number": "800-218-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CHARLES BRYAN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344756",
            "telephone_number": "901-237-4132",
            "fax_number": "800-218-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDA",
        "middle_name": "FAY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.