Individual provider Active NPI

Allyson Brooke Williams, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1407115579
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16644 Issued in TN
Practice address
1910 Madison Ave # 2628
Memphis, TN 38104-2620
Phone
(901) 352-8994
Fax
(440) 294-8182
NPI assigned
May 10, 2012
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16644 TN Primary

Addresses

Primary practice location

1910 Madison Ave # 2628
Memphis, TN 38104-2620

Mailing address

5050 Poplar Avenue Suite 511
Memphis, TN 38157-0618
Phone (901) 682-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120625000067 TN Practitioner - Nurse Practitioner 0143485219 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foner Med, PLLCGroup PAC ID 2860785052, 9 clinicians

Practice addresses (Care Compare)

493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone (901) 526-0802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16644TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Psychiatric and Addiction Clinic, PC CurrentSince Jan 1, 2015 Accepting new patients
Foner Med, PLLC CurrentSince Jun 1, 2022 Accepting new patients
John J Harris MD PC CurrentSince May 1, 2015 Accepting new patients
Wellness Evolution Psychiatric/Mental Health Current Accepting new patients
Blues City Psychiatry, PLLC CurrentSince Sep 7, 2014 Accepting new patients

Locations

2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905

8336 Macon Rd
Cordova, TN 38018
Phone (901) 682-3035

1661 International Dr
Ste 407
Memphis, TN 38120
Phone (901) 355-8075

493 Dr Ml King Jr Ave
Memphis, TN 38126
Phone (901) 526-0802

5050 Poplar Ave
Ste 511
Memphis, TN 38157
Phone (901) 682-3035

Interoperability endpoints

  • Direct secure messaging: allyson.williams.1@15660.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1407115579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVENUE SUITE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570618",
            "telephone_number": "901-682-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 2628",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-352-8994",
            "fax_number": "440-294-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALLYSON",
        "middle_name": "BROOKE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.