Individual provider Active NPI

Earnestine Williams

  • Family Nurse Practitioner
  • Bayou la Batre, AL
National Provider Identifier
1609251560
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-058459 Issued in AL
Practice address
13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone
(251) 824-4985
Fax
(251) 824-4990
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 1-058459 AL Primary

Addresses

Primary practice location

13833 Tapia Ave
Bayou la Batre, AL 36509-2515

Mailing address

13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone (251) 824-4985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151119001344 AL Practitioner - Nurse Practitioner 4587964788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Jul 14, 2019 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Apr 1, 2018 Accepting new patients
Franklin Primary Health Center Inc. CurrentSince Jul 14, 2019 Accepting new patients
Franklin Primary Health Center, Inc. Past Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

801 S University Blvd
Ste D
Mobile, AL 36609
Phone (251) 344-1964

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Interoperability endpoints

  • Direct secure messaging: ewilliams374876@direct.ochin.org

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.

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1609251560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EARNESTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-058459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayou la Batre, AL

Sources for this page

Verify at the official NPI Registry.