Individual provider Active NPI

Donna Phillips Williams, ARNP

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1700861176
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29751 Issued in OK
Practice address
2950 S Elm PL Ste 120
Broken Arrow, OK 74012-7816
Phone
(918) 451-5191
Fax
(918) 451-5272
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 29751 OK Primary

Addresses

Primary practice location

2950 S Elm PL Ste 120
Broken Arrow, OK 74012-7816

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 488-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040916000560 OK Practitioner - Nurse Practitioner 5294702304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Oct 1, 2010 Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Saint Francis Outreach Services LLC Past Accepting new patients
Springer Clinic Inc Past Accepting new patients

Locations

2950 S Elm Pl
Ste 120
Broken Arrow, OK 74012
Phone (918) 451-5191

1801 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 449-4150

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

6160 S Yale Ave
Tulsa, OK 74136
Phone (918) 492-7200

7858 S Olympia Ave
Tulsa, OK 74132
Phone (918) 986-9200

6600 S Yale Ave
Ste 700
Tulsa, OK 74136
Phone (918) 502-7300

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

10506 S Memorial Dr
Tulsa, OK 74133
Phone (918) 369-3200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • Direct secure messaging: donna.williams.1@19843.direct.athenahealth.com
  • Direct secure messaging: dwilliams7821@direct.saintfrancis.com

Organizations & group practices 4

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 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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1700861176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-488-6687",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S ELM PL STE 120",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127816",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DONNA",
        "middle_name": "PHILLIPS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "29751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.