Individual provider Active NPI

Todd A Williams, MS, RN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1306117585
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP121038 Issued in TX
Practice address
1213 Hermann Dr Ste 610
Houston, TX 77004-7012
Phone
(713) 524-3900
Fax
(713) 527-8356
NPI assigned
Jan 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP121038 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 610
Houston, TX 77004-7012

Mailing address

1200 Binz St Ste 950
Houston, TX 77004-6943
Phone (713) 524-3900

Other practice location 1

6720 Bertner Ave
MC 2-114a
Houston, TX 77030-2604
Phone (832) 355-2285

Other practice location 2

4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 524-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120327000948 TX Practitioner - Nurse Practitioner 8123288222 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP121038TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Doctors PLLC CurrentSince Sep 1, 2020 Accepting new patients
Oprex Medical Group, PLLC CurrentSince May 17, 2024 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Pulmonary and Internal Medicine Associates, L.L.P. PastSince Oct 1, 2020 Accepting new patients

Locations

2615 Southwest Fwy
Ste 290
Houston, TX 77098
Phone (713) 523-8800

1213 Hermann Dr
Ste 570
Houston, TX 77004
Phone (713) 524-3900

1213 Hermann Dr
Ste 610
Houston, TX 77004
Phone (281) 985-9362

6699 Chimney Rock Rd
Ste 202
Houston, TX 77081
Phone (281) 920-5558

12121 Richmond Ave
Ste 104
Houston, TX 77082
Phone (281) 920-5558

1200 Binz St
Ste 690
Houston, TX 77004
Phone (713) 366-7831

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

1200 Binz St
Ste 950
Houston, TX 77004
Phone (713) 493-7700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1306117585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046943",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047012",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Bertner Ave",
            "address_2": "MC 2-114A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "832-355-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Twelve Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770276812",
            "country_code": "US",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "MS, RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.