Blake McCullough Williams, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

214331 Issued in LA

Practice address

4200 Regent St Ste 200
Columbus, OH 43219-6229

Phone

(877) 870-1775

Fax

(614) 968-8840

NPI assigned

Jul 6, 2020

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 LA

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

Locations

Interoperability endpoints

• Direct secure messaging: blake.williams.1@29237.direct.athenahealth.com

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.

• Brighton Bridge Hospice LLC

  • Community Based Hospice Care Agency
  • Oberlin, LA
  • NPI 1629007794
  Medicare reassignment NPD
• Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• CLHG-Oakdale LLC

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD
• CLHG-Oakdale LLC

  • Rural Health Clinic/Center
  • Oakdale, LA
  • NPI 1356932859
  NPD
• CLHG-Oakdale, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Oakdale, LA
  • NPI 1376580332
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1396363438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WILLIAMS HILL RD",
            "city": "PITKIN",
            "state": "LA",
            "postal_code": "706565762",
            "telephone_number": "318-308-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BLAKE",
        "middle_name": "MCCULLOUGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "214331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Williams, MSW, LISW
• Baylee Williams
• Becky Marie Williams, RN
• Bernard Floyd Williams Jr., MSW, LISW
• Billy Williams
• Brandi Nicole Williams
• Brian Robert Williams, O.D.
• Brian Roger Williams, M.D.
• Brittany Williams
• Brittany Nicole Williams

• Primary Care Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.