Active NPI
Cynthia E Williams
- Family Nurse Practitioner
- Scarbro, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 63164
- Practice address
- 908 Scarbro Road
Scarbro, WV 25917 - Phone
- (304) 469-2905
- Fax
- (304) 465-3180
- NPI assigned
- May 19, 2015
- Last updated
- May 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | WV63164 | WV | |
| Family Nurse Practitioner | 363LF0000X | 63164 | WV | Primary |
Addresses
Primary practice location
908 Scarbro Road
Scarbro, WV 25917
Mailing address
PO Box 337
Scarbro, WV 25917-0337
Phone (304) 469-2905
Other practice location 1
1709 Harper Rd
Beckley, WV 25801-3311
Phone (304) 256-3027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619356052 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Westwood Medical Park
Bluefield, VA 24605-2003
Phone (276) 322-5439
405 Stanaford Rd
Beckley, WV 25801-3143
Phone (304) 252-6317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV63164 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Comprehensive Rehab Consultants PLLC | Nurse Practitioner | Current | Accepting new patients |
| Cherokee Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
20 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 322-5439
124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
405 Stanaford Rd
Beckley, WV 25801
Phone (301) 856-1660
1631 Ritter Dr
Daniels, WV 25832
Phone (304) 763-0351
422 23rd St
Oak Hill, WV 25901
Phone (304) 465-1903
107 Miller Dr
Ripley, WV 25271
Phone (304) 372-5115
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- cynthia.williams@wvafn.hcadirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Nurse Practitioner, VA, WV
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1982643938
Nurse Practitioner
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Nurse Practitioner
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Raleigh General Hospital
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1619356052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "SCARBRO",
"state": "WV",
"postal_code": "259170337",
"telephone_number": "304-469-2905",
"fax_number": "304-465-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 SCARBRO ROAD",
"city": "SCARBRO",
"state": "WV",
"postal_code": "25917",
"telephone_number": "304-469-2905",
"fax_number": "304-465-3180"
}
],
"practiceLocations": [
{
"address_1": "1709 Harper Rd",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258013311",
"country_code": "US",
"telephone_number": "304-256-3027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CYNTHIA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "WV63164",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "63164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619356052",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarbro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.