Individual provider Active NPI

Christina Lee Williamson, FNP-BC

  • Nurse Practitioner
  • Altus, OK
National Provider Identifier
1255038121
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10013975 Issued in OK
Practice address
1604 N Main St Ste 100
Altus, OK 73521-2145
Phone
(580) 482-0721
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 1082842 TX
Nurse Practitioner 363L00000X 10013975 OK Primary

Addresses

Primary practice location

1604 N Main St Ste 100
Altus, OK 73521-2145

Mailing address

1604 N Main St Ste 100
Altus, OK 73521-2145

Other practice location 1

101 S Hartford St
Breckenridge, TX 76424-4711
Phone (254) 559-3363

Other practice location 2

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (940) 473-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20230714003717 TX Practitioner - Nurse Practitioner 7618337106 Reassigns benefits to 1 organization
I20240223002370 OK Practitioner - Nurse Practitioner 7618337106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

416 N Main St
Altus, OK 73521-3108
Phone (580) 379-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10013975OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jun 5, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jun 5, 2025 Accepting new patients
Stephens Memorial Hospital District Current Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 1, 2023 Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 1, 2023 Accepting new patients
Elite Hospital Partners of Oklahoma CurrentSince Jan 14, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

Organizations & group practices 8

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1255038121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST STE 100",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST STE 100",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212145",
            "telephone_number": "580-482-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Hartford St",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "TX",
            "postal_code": "764244711",
            "country_code": "US",
            "telephone_number": "254-559-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735056332",
            "country_code": "US",
            "telephone_number": "940-473-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1082842",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "10013975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.