Individual provider Active NPI

Peggy W Williams, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1275898405
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
746130 Issued in TX
Practice address
10375 Richmond Ave
Suite 1700
Houston, TX 77042-4143
Phone
(281) 870-1000
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 746130 TX Primary

Addresses

Primary practice location

10375 Richmond Ave
Suite 1700
Houston, TX 77042-4143

Mailing address

10375 Richmond Ave
Suite 1700
Houston, TX 77042-4143
Phone (281) 870-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
746130TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omak Tribal Health Clinic CurrentSince Jan 7, 2019 Accepting new patients
DHHS IHS Colville Service Unit CurrentSince Jan 7, 2019 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Aug 15, 2018 Accepting new patients

Locations

617 Benton St
Omak, WA 98841
Phone (509) 422-7416

Organizations & group practices 3

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1275898405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 RICHMOND AVE",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424143",
            "telephone_number": "281-870-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 RICHMOND AVE",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424143",
            "telephone_number": "281-870-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PEGGY",
        "middle_name": "W",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "746130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.