Individual provider Active NPI

Sharon E Williams, APRN-CNP

  • Gerontology Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1497445647
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
224089 Issued in AR
Practice address
1308 E Page Ave
Malvern, AR 72104-4518
Phone
(501) 337-9820
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 224089 AR
Gerontology Nurse Practitioner 363LG0600X 224089 AR Primary
Adult Health Nurse Practitioner 363LA2200X 224089 AR

Addresses

Primary practice location

1308 E Page Ave
Malvern, AR 72104-4518

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230915000620 AR Practitioner - Nurse Practitioner 2062876667 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Practice addresses (Care Compare)

1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820

20 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-8970

942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224089ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC CurrentSince Feb 8, 2025 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Jul 15, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 5, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Jun 1, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 5, 2025 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Sep 1, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Jun 1, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Feb 8, 2025 Accepting new patients
Integrated Care Professionals, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: sharon.williams.1@29938.direct.athenahealth.com

Organizations & group practices 9

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1497445647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E PAGE AVE",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044518",
            "telephone_number": "501-337-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "224089",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "224089",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "224089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.