Individual provider Active NPI

Rachel H Williams, PA

  • Physician Assistant
  • Big Spring, TX
National Provider Identifier
1396763447
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04309 Issued in TX
Practice address
1901 N US Highway 87
Big Spring, TX 79720-0283
Phone
(432) 267-8216
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04309 TX Primary

Addresses

Primary practice location

1901 N US Highway 87
Big Spring, TX 79720-0283

Mailing address

1901 N US Highway 87
Big Spring, TX 79720-0283
Phone (432) 267-8216

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
I20050323001023 TX Practitioner - Physician Assistant 6608822572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Physician Assistant CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Department of State Health Services Past Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1396763447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N US HIGHWAY 87",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N US HIGHWAY 87",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHEL",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.