Individual provider Active NPI

Ariel Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1205520574
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
298202 Issued in AZ
Practice address
1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Phone
(662) 645-7128
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 298202 AZ Primary

Addresses

Primary practice location

1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098

Mailing address

3180 E 40TH St
Yuma, AZ 85365-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240222002132 AZ Practitioner - Nurse Practitioner 2365886959 Reassigns benefits to 1 organization
I20240802003588 TN Practitioner - Nurse Practitioner 2365886959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians

Practice addresses (Care Compare)

3180 E 40TH St
Yuma, AZ 85365-7772
Phone (928) 373-6763

951 Court Ave
Memphis, TN 38103-2813
Phone (901) 353-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34296TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Alliance Healthcare Services CurrentSince May 19, 2024 Accepting new patients
Community Bridges, Inc CurrentSince Jan 1, 2024 Accepting new patients
Alliance Healthcare Services CurrentSince May 19, 2024 Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1012 S Stapley Dr
Bldg 5
Mesa, AZ 85204
Phone (480) 768-6022

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

110 E Second St
Winslow, AZ 86047
Phone (928) 289-1122

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

951 Court Ave
Memphis, TN 38103
Phone (901) 577-1800

Interoperability endpoints

  • Direct secure messaging: ariel.williamsnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1205520574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029098",
            "telephone_number": "662-645-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "298202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.