Active NPI
Anna Fortenberry Williams, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1206928
- Practice address
- 411 N Washington Ave Ste 5200
Dallas, TX 75246-1778 - Phone
- (855) 204-2502
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1206928 | TX | Primary |
Addresses
Primary practice location
411 N Washington Ave Ste 5200
Dallas, TX 75246-1778
Mailing address
411 N Washington Ave Ste 5200
Dallas, TX 75246-1778
Phone (855) 204-2502
Other practice location 1
2800-TX 114
Ste 350
Trophy Club, TX 76262
Phone (214) 814-1758
Other practice location 2
6020 W Parker Rd Ste 305
Plano, TX 75093-8350
Phone (855) 204-2502
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Trophy Club, TX 76262
Phone (512) 777-2591
Austin, TX 78746
Phone (512) 777-2591
411 N Washington Ave
Suite 5200
Dallas, TX 75246-1778
Phone (855) 204-2502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206928 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kotel Atx PLLC | Past | Accepting new patients |
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": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1467344176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461778",
"telephone_number": "855-204-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461778",
"telephone_number": "855-204-2502"
}
],
"practiceLocations": [
{
"address_1": "2800-TX 114",
"address_2": "Ste 350",
"address_purpose": "LOCATION",
"city": "Trophy Club",
"state": "TX",
"postal_code": "76262",
"country_code": "US",
"telephone_number": "214-814-1758",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6020 W Parker Rd Ste 305",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938350",
"country_code": "US",
"telephone_number": "855-204-2502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANNA",
"middle_name": "FORTENBERRY",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1206928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.