Individual provider Active NPI

Abiola Elfreida Williams, APRN, GNP-BC

  • Gerontology Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1487984290
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
710778 Issued in TX
Practice address
5319 Marble Creek LN
Sugar Land, TX 77479-4663
Phone
(713) 253-1549
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 710778 TX Primary

Addresses

Primary practice location

5319 Marble Creek LN
Sugar Land, TX 77479-4663

Mailing address

PO Box 1494
Sugar Land, TX 77487-1494
Phone (713) 253-1549

Other identifiers 1

IdentifierTypeStateIssuer
213935401MedicaidTX

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
I20100419000769 TX Practitioner - Nurse Practitioner 3971630211 Reassigns benefits to 1 organization
Practice locations: Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5319 Marble Creek LN
Sugar Land, TX 77479-4663
Phone (713) 253-1549

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
710778TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A.E. Williams, PLLC Gerontology CurrentSince Jun 15, 2016 Accepting new patients

Locations

99 Rigby Owen Rd
Conroe, TX 77304
Phone (574) 295-0096

1615 Hillendahl Blvd
Houston, TX 77055
Phone (713) 365-0561

3000 N Danville St
Willis, TX 77378
Phone (936) 836-4312

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": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1487984290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1494",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774871494",
            "telephone_number": "713-253-1549",
            "fax_number": "713-758-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 MARBLE CREEK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794663",
            "telephone_number": "713-253-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ABIOLA",
        "middle_name": "ELFREIDA",
        "credential": "APRN, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "710778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213935401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.