Victoria Renee' Williams, APN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03278 Issued in AR

Practice address

1000 W Kingshighway
Suite #4
Paragould, AR 72450-4141

Phone

(870) 239-3225

Fax

(870) 239-3595

NPI assigned

Aug 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ms_vwilli86@landmarkhealth-direct.org

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.

• Ammc Physician Services, Inc.

  • Internal Medicine Physician
  • Paragould, AR
  • NPI 1477836302
  NPD (past)
• Paragould Obstetrics and Gynecology, PLLC

  • Specialist
  • Paragould, AR
  • NPI 1316180284
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1336371863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GREENE 629",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508091",
            "telephone_number": "870-450-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY",
            "address_2": "SUITE #4",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504141",
            "telephone_number": "870-239-3225",
            "fax_number": "870-239-3595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Ridge",
            "state": "AR",
            "postal_code": "724761410",
            "country_code": "US",
            "telephone_number": "870-886-5507",
            "fax_number": "870-886-5632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "APN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Marshall Williams, M.D.
• Jordan Williams
• Katie L Williams, LPN
• Mallory Anne Williams, PHARM D.
• Seth Williams
• Virginia Lynn Willis, LCSW
• Lauren Willmer, APRN
• Carla Wilson, MHPP
• Hunter Wilson
• Max Wilson

• Family Nurse Practitioner in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.