Jessica Laine Williams

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216889 Issued in OK

Practice address

1400 Bryan Dr Ste 208
Durant, OK 74701-2157

Phone

(580) 920-9063

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Laine Diebel Former name

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.williams.1@4696.direct.athenahealth.com

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.

• Durant Hma Physician Management, LLC

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1043361116
  Medicare reassignment Care Compare group NPD
• OB/GYN Associates of Durant

  dba Hma

  • Obstetrics & Gynecology Physician
  • Durant, OK
  • NPI 1225085632
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1225881204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 FELICE LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 208",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-920-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "LAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DIEBEL",
            "middle_name": "LAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Alexis Williams
• Cynthia Bernice Williams, RN, CDE
• Hannah Joy Williams
• Jeffrey Williams, PAC
• Kamria Nicole Williams
• Karen Williams, MBS
• Kaytlin Williams, SLPA
• Ryan Williams, PHARM. D.
• Tamolyn Williams

• Family Nurse Practitioner in Durant, OK
• Providers in Durant, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.

Verify at the official NPI Registry.