Individual provider Active NPI

Scheena Shirika Williams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1467110486
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1059978 Issued in TX
Practice address
1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933
Phone
(817) 354-7268
Fax
(817) 354-9930
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 1059978 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933

Mailing address

3413 Tempest LN
Little Elm, TX 75068-3318
Phone (972) 922-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240308000358 TX Practitioner - Nurse Practitioner 8325484785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

1604 Hospital Pkwy
Suite 507
Bedford, TX 76022-6933
Phone (817) 354-7268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1059978TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

1604 Hospital Pkwy
Ste 507
Bedford, TX 76022
Phone (817) 354-7268

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

Organizations & group practices 1

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1467110486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 TEMPEST LN",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750683318",
            "telephone_number": "972-922-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 507",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226933",
            "telephone_number": "817-354-7268",
            "fax_number": "817-354-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCHEENA",
        "middle_name": "SHIRIKA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1059978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.