Individual provider Active NPI

Sheila Williams

  • Adult Health Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1609922327
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12568 Issued in TN
Practice address
705 N High St
Suite a
Morristown, TN 37814-3876
Phone
(423) 587-0860
Fax
(423) 289-1267
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 12568 TN Primary
Gastroenterology Registered Nurse 163WG0100X RN0000116000 TN

Addresses

Primary practice location

705 N High St
Suite a
Morristown, TN 37814-3876

Mailing address

705 N High St
Suite a
Morristown, TN 37814-3876
Phone (423) 587-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000116000TNMDGastroenterology Registered Nurse
12568TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Gastroenterology, P.C PastSince Apr 17, 2001 Accepting new patients
Knoxville Hma Physician Management, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1609922327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N HIGH ST",
            "address_2": "SUITE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143876",
            "telephone_number": "423-587-0860",
            "fax_number": "423-289-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N HIGH ST",
            "address_2": "SUITE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143876",
            "telephone_number": "423-587-0860",
            "fax_number": "423-289-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "12568",
            "primary": true
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "TN",
            "license": "RN0000116000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.