Organization Active NPI

Patricia Williamson FNP-C LLC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1295129609
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012009252 Issued in MO
Legal business name
PATRICIA WILLIAMSON FNP-C LLC
Practice address
916 Olive St # 312
Saint Louis, MO 63101-1459
Phone
(314) 436-9300
Fax
(314) 802-4477
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Ms. Renita J Barnes
Title
Clinical Director
Phone
(314) 436-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2012009252 MO Primary

Addresses

Primary practice location

916 Olive St # 312
Saint Louis, MO 63101-1459

Mailing address

13035 Olive Blvd Ste 113
Creve Coeur, MO 63141-6176
Phone (314) 548-6550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1295129609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 OLIVE BLVD STE 113",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416176",
            "telephone_number": "314-548-6550",
            "fax_number": "314-878-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 OLIVE ST # 312",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011459",
            "telephone_number": "314-436-9300",
            "fax_number": "314-802-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA WILLIAMSON FNP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-436-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012009252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.