Individual provider Active NPI

Christy K Williams, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Benton, IL
National Provider Identifier
1235804246
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.020886 Issued in IL
Practice address
107 E Smith St Ste B
Benton, IL 62812-2136
Phone
(618) 435-9315
Fax
(618) 435-9316
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209020886 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.020886 IL Primary
Family Nurse Practitioner 363LF0000X 209.020886 IL

Addresses

Primary practice location

107 E Smith St Ste B
Benton, IL 62812-2136

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other practice location 1

206 E Church St Ste B
Benton, IL 62812-2239
Phone (618) 435-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220216000080 IL Practitioner - Nurse Practitioner 3375935075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.020886ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation Current Accepting new patients
Christopher Greater Area Rural Health Planning Corp Family CurrentSince Feb 9, 2022 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Feb 9, 2022 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Past Accepting new patients

Locations

206 E Church St
#B
Benton, IL 62812
Phone (618) 435-9888

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

119 Gas Plant Rd
Du Quoin, IL 62832
Phone (618) 542-8702

1401 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-2951

Interoperability endpoints

  • Direct secure messaging: christy.williams@crhpc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1235804246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E SMITH ST STE B",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122136",
            "telephone_number": "618-435-9315",
            "fax_number": "618-435-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "IL",
            "postal_code": "628122239",
            "country_code": "US",
            "telephone_number": "618-435-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTY",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020886",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.020886",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, IL

Sources for this page

Verify at the official NPI Registry.