Active NPI
Marilyn Williams, WHNP
- Women's Health Nurse Practitioner
- Irving, TX
National Provider Identifier
1306894209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN097616
- Practice address
- 3050 Regent Blvd Ste 400
Irving, TX 75063-5808 - Phone
- (214) 688-8093
- Fax
- (866) 522-6596
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN097616 | GA | Primary |
Addresses
Primary practice location
3050 Regent Blvd Ste 400
Irving, TX 75063-5808
Mailing address
2750 Old Mill Rd
Rutledge, GA 30663-2308
Phone (770) 655-5827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000741804D | Medicaid | GA | |
| RN097616NP | Other | GA | NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Urgent Care - Royston LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Royston, GA
- NPI 1093847444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1306894209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 OLD MILL RD",
"city": "RUTLEDGE",
"state": "GA",
"postal_code": "306632308",
"telephone_number": "770-655-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 REGENT BLVD STE 400",
"city": "IRVING",
"state": "TX",
"postal_code": "750635808",
"telephone_number": "214-688-8093",
"fax_number": "866-522-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARILYN",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN097616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000741804D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN097616NP",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.