Active NPI
Racheal Williams, FNP-C
- Family Nurse Practitioner
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 303576
- Practice address
- 2451 S Avenue a Ste A104
Yuma, AZ 85364-7189 - Phone
- (928) 336-2165
- Fax
- (928) 336-2174
- NPI assigned
- Oct 12, 2023
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 303576 | AZ | Primary |
| Registered Nurse | 163W00000X | 162512 | AZ |
Addresses
Primary practice location
2451 S Avenue a Ste A104
Yuma, AZ 85364-7189
Mailing address
1950 W 3Rd St
Yuma, AZ 85364-1812
Phone (928) 246-5582
Other practice location 1
1950 W 3rd St
Yuma, AZ 85364-1812
Phone (928) 276-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8866
Phone (928) 329-4771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162512 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Valley Anesthesia, PLLC | Current | Accepting new patients | |
| Frances Davison FNP-BC LTD | Current | Accepting new patients |
Locations
11814 S Foothills Blvd
Yuma, AZ 85367
11814 S Foothills Blvd
Ste 1
Yuma, AZ 85367
Phone (928) 248-4734
1950 W 3rd St
Yuma, AZ 85364
Phone (928) 276-4477
2270 S Ridgeview Dr
Ste 300
Yuma, AZ 85364
Phone (928) 247-7674
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
Organizations & group practices 2
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.
-
dba Yuma Valley Advanced Pain Management
- Pain Clinic/Center
- Yuma, AZ
- NPI 1518100015
-
dba SWPCA Medical Practice
- Family Medicine Physician
- Yuma, AZ
- NPI 1972105708
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1578344628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W 3RD ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853641812",
"telephone_number": "928-246-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 S AVENUE A STE A104",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647189",
"telephone_number": "928-336-2165",
"fax_number": "928-336-2174"
}
],
"practiceLocations": [
{
"address_1": "1950 W 3rd St",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853641812",
"country_code": "US",
"telephone_number": "928-276-4477",
"fax_number": "928-276-4481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RACHEAL",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "303576",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "162512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.