Individual provider Active NPI

Racheal Williams, FNP-C

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1578344628
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
303576 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002536 AZ Practitioner - Nurse Practitioner 4789021437 Reassigns benefits to 2 organizations

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
Yuma Valley Anesthesia, PLLCGroup PAC ID 7810045259, 4 clinicians

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

LicenseStateTypeSpecialty
162512AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Valley Anesthesia, PLLC CurrentSince Jun 2, 2025 Accepting new patients
Frances Davison FNP-BC LTD CurrentSince Feb 7, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.