Individual provider Active NPI

Kristy K. McClure-Williams, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1639416803
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122983 Issued in TX
Practice address
7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084
Phone
(806) 680-1900
Fax
(806) 513-6791
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 686400 TX
Primary Care Nurse Practitioner 363LP2300X 686400 TX
Family Nurse Practitioner 363LF0000X AP122983 TX Primary

Addresses

Primary practice location

7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084

Mailing address

367 S Gulph Rd
Atn :Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (806) 680-1900

Other practice location 1

703 E Felt St
Brownfield, TX 79316-3439
Phone (806) 637-1955 ext. 377

Other practice location 2

2001 S. Coulter St Suite 2001
Amarillo, TX 79106-2521
Phone (806) 318-5777

Other practice location 3

301 North 23rd Street Suite C
Canyon, TX 79015-3028
Phone (806) 452-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210317001158 TX Practitioner - Nurse Practitioner 0749696706 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
686400TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC CurrentSince May 3, 2021 Accepting new patients
Northwest Urgent Care, PLLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Indiemd Network LLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Indiemd TX Management LLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
NWTX Physician Network, PLLC CurrentSince May 3, 2021 Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

2001 S Coulter St
Ste 2001
Amarillo, TX 79106
Phone (806) 318-5777

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

1900 SE 34th Ave
Unit 1700
Amarillo, TX 79118
Phone (806) 351-7530

7000 N Mopac Expy
Ste 305
Austin, TX 78731
Phone (877) 988-7420

309 Water St
Ste 108
Boerne, TX 78006
Phone (877) 988-7420

309 Water St
Ste 113
Boerne, TX 78006

301 N 23rd St
Ste C
Canyon, TX 79015
Phone (806) 351-7150

Organizations & group practices 5

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1639416803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATN :IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SW 45TH AVE UNIT 14",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095084",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Felt St",
            "address_purpose": "LOCATION",
            "city": "Brownfield",
            "state": "TX",
            "postal_code": "793163439",
            "country_code": "US",
            "telephone_number": "806-637-1955 x377",
            "fax_number": "806-637-2169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S. Coulter St Suite 2001",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062521",
            "country_code": "US",
            "telephone_number": "806-318-5777",
            "fax_number": "806-513-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 North 23rd Street Suite C",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790153028",
            "country_code": "US",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE-WILLIAMS",
        "first_name": "KRISTY",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "686400",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "686400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.