Individual provider Active NPI

Courtney Williams, APRN,PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1568036044
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1228861 Issued in TX
Practice address
8500 Village Dr Ste 101
San Antonio, TX 78217-5510
Phone
(726) 217-0791
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904472 MS
Family Nurse Practitioner 363LF0000X 1228861 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904472 MS
Family Nurse Practitioner 363LF0000X 218968 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218968 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1228861 TX Primary

Addresses

Primary practice location

8500 Village Dr Ste 101
San Antonio, TX 78217-5510

Mailing address

8500 Village Dr Ste 101
San Antonio, TX 78217-5510
Phone (726) 217-0791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211108002211 MS Practitioner - Nurse Practitioner 3678962917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Eleanor Health Professional TX, PLLCGroup PAC ID 9335527118, 16 clinicians

Practice addresses (Care Compare)

8500 Village Dr
Suite 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1228861TXMDFamily Nurse Practitioner
218968LAMDPsychiatric/Mental Health Nurse Practitioner
904472MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Aug 4, 2021 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Aug 4, 2021 Accepting new patients

Locations

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

1495 US Highway 61 S
Woodville, MS 39669
Phone (601) 888-3518

1495 US Highway 61 S
Ste A
Woodville, MS 39669
Phone (601) 446-5315

Organizations & group practices 4

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1568036044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 VILLAGE DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175510",
            "telephone_number": "726-217-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 VILLAGE DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175510",
            "telephone_number": "726-217-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COURTNEY",
        "credential": "APRN,PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1228861",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "218968",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1228861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.