Individual provider Active NPI

Anna Fortenberry Williams, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1467344176
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1206928 Issued in TX
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

Updated by the provider on Sep 16, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406002978 TX Practitioner - Nurse Practitioner 2860967007 Reassigns benefits to 1 organization

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
Kotel AtxGroup PAC ID 9537578810, 27 clinicians

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

LicenseStateTypeSpecialty
1206928TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.