Individual provider Active NPI

Landon James Williamson, DNAP

  • Certified Registered Nurse Anesthetist
  • Prosser, WA
National Provider Identifier
1326830043
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61682957 Issued in WA
Practice address
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone
(509) 786-2222
NPI assigned
May 19, 2025
Last updated
May 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP61682957 WA
Certified Registered Nurse Anesthetist 367500000X AP61682957 WA Primary

Addresses

Primary practice location

200 Prosser Health Dr
Prosser, WA 99350-7832

Mailing address

2812 Sunshine Ridge Rd
Richland, WA 99352-9301
Phone (360) 852-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618004076 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315458015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61682957WAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 1, 2025 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 1, 2025 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1326830043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 SUNSHINE RIDGE RD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529301",
            "telephone_number": "360-852-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSSER HEALTH DR",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993507832",
            "telephone_number": "509-786-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LANDON",
        "middle_name": "JAMES",
        "credential": "DNAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WA",
            "license": "AP61682957",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61682957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.