Individual provider Active NPI

Debralee Williams

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1700574415
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1115464 Issued in TX
Practice address
5637 Corsica Rd
Corpus Christi, TX 78414-6293
Phone
(361) 387-0046
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 1115464 TX Primary

Addresses

Primary practice location

5637 Corsica Rd
Corpus Christi, TX 78414-6293

Mailing address

5637 Corsica Rd
Corpus Christi, TX 78414-6293
Phone (361) 387-0046

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
I20240607003152 TX Practitioner - Nurse Practitioner 8921540733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute of Precision Pain Medicine PLLCGroup PAC ID 9638460330, 9 clinicians

Practice addresses (Care Compare)

5637 Corsica Rd
Corpus Christi, TX 78414-6293
Phone (361) 387-0046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1115464TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Precision Pain Medicine, PLLC CurrentSince May 4, 2024 Accepting new patients
Institute of Precision Pain Medicine, PLLC CurrentSince May 4, 2024 Accepting new patients

Locations

4000 Garth Rd
Ste 150
Baytown, TX 77521
Phone (832) 695-3478

5637 Corsica Rd
Corpus Christi, TX 78414
Phone (361) 387-0046

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1700574415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 CORSICA RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146293",
            "telephone_number": "361-387-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 CORSICA RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146293",
            "telephone_number": "361-387-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBRALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1115464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.