Individual provider Active NPI

Loren Watts Williams, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1649620485
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901552 Issued in MS
Practice address
1007 W Congress St
Brookhaven, MS 39601-2603
Phone
(601) 833-9388
Fax
(601) 833-9495
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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 901552 MS Primary

Addresses

Primary practice location

1007 W Congress St
Brookhaven, MS 39601-2603

Mailing address

527 W Chickasaw St
Brookhaven, MS 39601-3227
Phone (601) 695-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160910000111 MS Practitioner - Nurse Practitioner 1153617501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridging Community With Healthcare, LLCGroup PAC ID 9537380944, 12 clinicians

Practice addresses (Care Compare)

1005 W Congress St
Brookhaven, MS 39601-2603
Phone (601) 833-9388

1007 W Congress St
Brookhaven, MS 39601-2603

1037 Hwy 84 E
Brookhaven, MS 39601-8776
Phone (601) 833-9388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.12 of 100Reported as group
Quality
61.43
Improvement activities
20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Community With Healthcare, LLC CurrentSince Jul 24, 2016 Accepting new patients

Locations

1005 W Congress St
Brookhaven, MS 39601
Phone (601) 833-6333

1007 W Congress St
Brookhaven, MS 39601
Phone (601) 833-9388

430 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-7455

Interoperability endpoints

  • Direct secure messaging: loren.williams.1@29866.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1649620485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W CHICKASAW ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013227",
            "telephone_number": "601-695-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-833-9388",
            "fax_number": "601-833-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LOREN",
        "middle_name": "WATTS",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.