Individual provider Active NPI

Christina Jackson Williams, WHNP-BC

  • Women's Health Nurse Practitioner
  • Grafton, VA
National Provider Identifier
1417593120
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024180460 Issued in VA
Practice address
2855 Denbigh Blvd Ste B
Grafton, VA 23692-6501
Phone
(757) 750-2400
Fax
(757) 243-8382
NPI assigned
Nov 18, 2019
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024180460 VA Primary

Addresses

Primary practice location

2855 Denbigh Blvd Ste B
Grafton, VA 23692-6501

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other identifiers 1

IdentifierTypeStateIssuer
276885OtherNCNC BON

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
I20210107000500 VA Practitioner - Nurse Practitioner 8022421296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

401 Oyster Point Rd
Suite a
Newport News, VA 23602-6926
Phone (757) 249-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince May 30, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Feb 1, 2021 Accepting new patients
Riverside Physician Services, Inc. CurrentSince May 30, 2023 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905

401 Oyster Point Rd
Ste A
Newport News, VA 23602
Phone (757) 249-3000

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Interoperability endpoints

  • Direct secure messaging: cwilliams204575@direct.rivhs.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1417593120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 DENBIGH BLVD STE B",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236926501",
            "telephone_number": "757-750-2400",
            "fax_number": "757-243-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTINA",
        "middle_name": "JACKSON",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024180460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BON",
            "identifier": "276885",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, VA

Sources for this page

Verify at the official NPI Registry.