Individual provider Active NPI

Karen Delane Williams, APN

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1629295761
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A01884 Issued in AR
Practice address
#5 St Vincent Circle
Ste 501
Little Rock, AR 72205
Phone
(501) 666-2894
Fax
(501) 566-6901
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01884 AR Primary

Addresses

Primary practice location

#5 St Vincent Circle
Ste 501
Little Rock, AR 72205

Mailing address

5 Saint Vincent Cir
Ste 501
Little Rock, AR 72205-5412
Phone (501) 666-2894

Other names 1

  • Karen Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20050728001047 AR Practitioner - Nurse Practitioner 0042248304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flaxventures LLCGroup PAC ID 4486041993, 3 clinicians

Practice addresses (Care Compare)

8201 Cantrell Rd
Suite 250
Little Rock, AR 72227-2503
Phone (501) 466-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01884ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flaxventures, LLC CurrentSince May 1, 2024 Accepting new patients
Watkins, Bauer & Meadors, P.a. PastSince Nov 12, 2017 Accepting new patients

Locations

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

8201 Cantrell Rd
Ste 250
Little Rock, AR 72227
Phone (501) 466-7246

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1629295761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "STE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-666-2894",
            "fax_number": "501-666-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#5 ST VINCENT CIRCLE",
            "address_2": "STE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-666-2894",
            "fax_number": "501-566-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAREN",
        "middle_name": "DELANE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WILLIAMS",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.