Individual provider Active NPI

Nachet J. Williams-Prince, MS, PA-C

  • Medical Physician Assistant
  • St Thomas, VI
National Provider Identifier
1639373764
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012 Issued in VI
Practice address
4605 Tutu Park Mall Ste 207
St Thomas, VI 00802-1736
Phone
(340) 775-3700
Fax
(340) 777-7927
NPI assigned
Jun 13, 2007
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012 VI Primary

Addresses

Primary practice location

4605 Tutu Park Mall Ste 207
St Thomas, VI 00802-1736

Mailing address

PO Box 11941
St Thomas, VI 00801-4941
Phone (340) 775-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20130703000504 VI Practitioner - Physician Assistant 8820238397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The St Thomas East End Medical Center CorporationGroup PAC ID 1153366398, 9 clinicians

Practice addresses (Care Compare)

4605 Tutu Park Mall
Suite 207
St Thomas, VI 00802-1736
Phone (340) 775-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1639373764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11941",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008014941",
            "telephone_number": "340-775-3700",
            "fax_number": "340-777-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 TUTU PARK MALL STE 207",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021736",
            "telephone_number": "340-775-3700",
            "fax_number": "340-777-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-PRINCE",
        "first_name": "NACHET",
        "middle_name": "J.",
        "name_prefix": "Miss",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VI",
            "license": "012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.