Sara Williams, AGPCNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2015033113 Issued in MO

Practice address

1923 Waybridge LN
Fenton, MO 63026-5425

Phone

(314) 261-6761

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Williams Professional name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ms_swill789@landmarkhealth-direct.org
• Direct secure messaging: sara.williams.1@33202.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1588023766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 WAYBRIDGE LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265425",
            "telephone_number": "314-261-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 WAYBRIDGE LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265425",
            "telephone_number": "314-261-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARA",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015033113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WILLIAMS",
            "credential": "AGPCNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles A Wetherington, M.D.
• Vernon P Weygandt, CRNA
• Michelle White, RBT
• Anthony Robert Williams, PHARMD, RPH
• Jennifer Williams, PHARM.D.
• Jeffrey P Wilson, MD
• Shea Aaron Wilson, DMD
• Daniel Paul Windsor, M.D.
• Elyse Nicole Wingbermuehle, OTR/L
• Tracy Lynn Winkelmann, FNP

• Primary Care Nurse Practitioner in Fenton, MO
• Providers in Fenton, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.