Individual provider Active NPI

Britane Derica Williams, FNP

  • Family Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1639846140
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018147 Issued in CA
Practice address
18077 Ca Hwy 18
Suite 100
Apple Valley, CA 92307
Phone
(760) 246-6670
NPI assigned
Aug 24, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018147 CA Primary

Addresses

Primary practice location

18077 Ca Hwy 18
Suite 100
Apple Valley, CA 92307

Mailing address

10964 Roble St
Loma Linda, CA 92354-6112
Phone (281) 785-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241104000662 CA Practitioner - Nurse Practitioner 0547793242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DLR Family Medicine Medical Group, PCGroup PAC ID 0345683082, 10 clinicians

Practice addresses (Care Compare)

11985 4TH St
Suite 102
Yucaipa, CA 92399-2727
Phone (909) 478-7951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018147CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLR Family Medicine Medical Group PC CurrentSince Aug 17, 2024 Accepting new patients

Locations

11985 4th St
Ste 102
Yucaipa, CA 92399
Phone (909) 478-7951

Interoperability endpoints

  • Direct secure messaging: bwilliams1828539@oc.providencedirect.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1639846140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10964 ROBLE ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546112",
            "telephone_number": "281-785-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 CA HWY 18",
            "address_2": "SUITE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-246-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRITANE",
        "middle_name": "DERICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.