Shawnna B Williams, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-109219 Issued in AL

Practice address

2208 Danville Rd SW
Suite G
Decatur, AL 35601-4603

Phone

(256) 301-9994

Fax

(256) 301-5545

NPI assigned

Mar 10, 2015

Last updated

Mar 10, 2015By the provider in NPPES

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 AL

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Pain Clinic LLCGroup PAC ID 2961690581, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawnna.williams@2375.securemail.prognocis.com

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.

• Valley Pain Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, AL
  • NPI 1386944239
  Medicare reassignment Care Compare group NPD
• Valley Internal Medicine

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1386052462
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1407249899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 DANVILLE RD SW",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014603",
            "telephone_number": "256-301-9994",
            "fax_number": "256-301-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 DANVILLE RD SW",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014603",
            "telephone_number": "256-301-9994",
            "fax_number": "256-301-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAWNNA",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-109219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Physical Therapy, LLC
• Charvetta Williams
• Jeffery Lynn Williams, RPT
• Kerri Anne Williams, DPT
• Sandra Sue Williams, RN
• Tanya Williams, REGISTERED NURSE
• Willis Taylor Williams, M.D.
• Thomas T. Willis, DMD
• Anthony L Wilson
• Katherine Wilson, CRNP

• Acute Care Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.
• 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.