Individual provider Active NPI

Anita Loretta Williams, AGNP

  • Gerontology Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1417356791
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
82637 Issued in OK
Practice address
3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6459
Phone
(918) 728-8512
Fax
(918) 779-4127
NPI assigned
Aug 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 82637 OK Primary

Addresses

Primary practice location

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6459

Mailing address

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6459
Phone (918) 728-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20141119000415 OK Practitioner - Nurse Practitioner 8224250642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447
Phone (918) 728-8512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
82637OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&M Healthcare Clinic CurrentSince Jun 4, 2018 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

3606 N Martin Luther King Jr Blvd
Unit B
Tulsa, OK 74106

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106
Phone (918) 728-8512

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17718/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anita.williams.1@17718.direct.athenahealth.com

Organizations & group practices 2

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": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1417356791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066459",
            "telephone_number": "918-728-8512",
            "fax_number": "918-779-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N MARTIN LUTHER KING JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066459",
            "telephone_number": "918-728-8512",
            "fax_number": "918-779-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANITA",
        "middle_name": "LORETTA",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "82637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.