Individual provider Active NPI

Erica Williams

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1417488644
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024174067 Issued in VA
Practice address
1201 Broad Rock Blvd
Richmond, VA 23249-3201
Phone
(804) 675-5000
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0024174067 VA
Surgery Physician 208600000X 0024174067 VA
Surgical Oncology Physician 2086X0206X 0024174967 VA
Oncology Clinical Nurse Specialist 364SX0200X 0024174067 VA
Nurse Practitioner 363L00000X 0024174067 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
Richmond, VA 23249-3201

Mailing address

11637 Parrish Creek LN
Chesterfield, VA 23832-4074
Phone (804) 316-1204

Other practice location 1

14051 St Francis Blvd
Suite 1400
Midlothian, VA 23114-3201
Phone (804) 325-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170803001092 VA Practitioner - Nurse Practitioner 5890066294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174967VAMDWomen's Health Nurse Practitioner
0024174067VAMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
S&S Medical Wellness Services CurrentSince Dec 14, 2025 Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 207
Chester, VA 23831
Phone (804) 285-6880

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8220 Meadowbridge Rd
Ste 306
Mechanicsvlle, VA 23116
Phone (804) 764-1253

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

1510 N 28th St
Ste 210
Richmond, VA 23223
Phone (804) 371-1689

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 3

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1417488644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 PARRISH CREEK LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238324074",
            "telephone_number": "804-316-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232493201",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14051 St Francis Blvd",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231143201",
            "country_code": "US",
            "telephone_number": "804-325-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0024174067",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0024174067",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0024174967",
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "VA",
            "license": "0024174067",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.