Individual provider Active NPI

Robyn Renee Williams, NP

  • Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1740529155
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2256 Issued in TX
Practice address
1920 Moores LN Ste a
Texarkana, TX 75503-4660
Phone
(903) 792-8030
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0113115 AR
Nurse Practitioner 363L00000X 2256 TX Primary

Addresses

Primary practice location

1920 Moores LN Ste a
Texarkana, TX 75503-4660

Mailing address

1920 Moores LN Ste a
Texarkana, TX 75503-4660
Phone (903) 792-8030

Other names 1

  • Ms. Robyn Renee Keahey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130823000196 TX Practitioner - Nurse Practitioner 3870736879 Reassigns benefits to 1 organization
I20230519000708 AR Practitioner - Nurse Practitioner 3870736879

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texarkana Gastroenterology Consultants, PAGroup PAC ID 0345212817, 18 clinicians

Practice addresses (Care Compare)

1920 Moores LN
Suite a
Texarkana, TX 75503-4660
Phone 90379280302080

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
77.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2256TXMDProsthetist
F0113115ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Gastroenterology Consultants, PA CurrentSince Feb 18, 2013 Accepting new patients
Renew Wellness Services PLLC Current Accepting new patients

Locations

1920 Moores Ln
Ste A
Texarkana, TX 75503
Phone (903) 792-8030

Interoperability endpoints

  • FHIR API: https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

Hospital & facility affiliations 3

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1740529155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MOORES LN STE A",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034660",
            "telephone_number": "903-792-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MOORES LN STE A",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034660",
            "telephone_number": "903-792-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "F0113115",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "KEAHEY",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.