Individual provider Active NPI

Dana Blalock Williams, APRN

  • Nurse Practitioner
  • Chatham, LA
National Provider Identifier
1487918983
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06865 Issued in LA
Practice address
804 Chatham Ave
Chatham, LA 71226-8917
Phone
(318) 249-3200
Fax
(318) 249-3204
NPI assigned
Jun 28, 2012
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06865 LA Primary

Addresses

Primary practice location

804 Chatham Ave
Chatham, LA 71226-8917

Mailing address

107 Watts St
Jonesboro, LA 71251-2053
Phone (318) 395-2121

Other practice location 1

107 Watts St
Jonesboro, LA 71251-2053
Phone (318) 395-2121

Other names 1

  • Dana Blalock Rasberry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwilliams@jph.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20121022000547 LA Practitioner - Nurse Practitioner 3476703729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Parish HospitalGroup PAC ID 9335048081, 10 clinicians

Practice addresses (Care Compare)

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone 3182594435223

165 Beech Springs Rd
Jonesboro, LA 71251-2059

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06865LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Parish Hospital CurrentSince May 1, 2018 Accepting new patients
Jackson Parish Hospital Past Accepting new patients
Jackson Parish Hospital Past Accepting new patients

Locations

804 Chatham Ave
Chatham, LA 71226
Phone (318) 249-3200

107 Watts St
Jonesboro, LA 71251
Phone (318) 395-2121

121 Watts St
Ste A
Jonesboro, LA 71251
Phone (318) 259-0006

121 Watts St
Ste B
Jonesboro, LA 71251
Phone (318) 395-9757

121 Watts St
Ste E
Jonesboro, LA 71251

121 Watts St
Ste F
Jonesboro, LA 71251
Phone (318) 395-3051

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

187 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

Interoperability endpoints

  • Direct secure messaging: dwilliams@jph.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1487918983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WATTS ST",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512053",
            "telephone_number": "318-395-2121",
            "fax_number": "318-395-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHATHAM AVE",
            "city": "CHATHAM",
            "state": "LA",
            "postal_code": "712268917",
            "telephone_number": "318-249-3200",
            "fax_number": "318-249-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Watts St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "LA",
            "postal_code": "712512053",
            "country_code": "US",
            "telephone_number": "318-395-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANA",
        "middle_name": "BLALOCK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilliams@jph.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "107 Watts St",
            "city": "Jonesboro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712512053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "RASBERRY",
            "middle_name": "BLALOCK",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatham, LA

Sources for this page

Verify at the official NPI Registry.