Individual provider Active NPI

Careeta-Jenee Anique Williams, ARNP

  • Family Nurse Practitioner
  • Grandview, WA
National Provider Identifier
1548089550
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61630866 Issued in WA
Practice address
208 N Euclid St
Grandview, WA 98930
Phone
(678) 522-1504
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61630866 WA Primary

Addresses

Primary practice location

208 N Euclid St
Grandview, WA 98930

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241204002862 WA Practitioner - Nurse Practitioner 3971039652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Community Hospital AssociationGroup PAC ID 1658280896, 57 clinicians
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

208 N Euclid Rd
Grandview, WA 98930-9470
Phone (509) 882-1855

915 Vintage Valley Pkwy
Suite 200
Zillah, WA 98953-9800
Phone (509) 314-6565

Hospital & facility affiliations

  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61630866WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
SHC Medical Center Toppenish Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
SHC Medical Center Toppenish CurrentSince Nov 1, 2025 Accepting new patients

Locations

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1548089550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N EUCLID ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "98930",
            "telephone_number": "678-522-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAREETA-JENEE",
        "middle_name": "ANIQUE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61630866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.