Individual provider Active NPI

Heather Williams, WHNP

  • Women's Health Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1760137343
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0000000 Issued in MS
Practice address
1507 Churchill Dr
Ocean Springs, MS 39564-3305
Phone
(210) 250-0299
NPI assigned
Feb 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 0000000 MS Primary

Addresses

Primary practice location

1507 Churchill Dr
Ocean Springs, MS 39564-3305

Mailing address

1507 Churchill Dr
Ocean Springs, MS 39564-3305
Phone (210) 250-0299

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
I20250801002537 MS Practitioner - Nurse Practitioner 0042728909 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
Group practices
Ms State Department of HealthGroup PAC ID 0244129245, 21 clinicians

Practice addresses (Care Compare)

1850 Cheryl St
Clarksdale, MS 38614-7219
Phone (662) 624-8316

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000000MSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Department of Health Current Accepting new patients
Ms State Department of Health Single Specialty CurrentSince Jun 2, 2025 Accepting new patients
Ms State Dept of Health CurrentSince Jun 2, 2025 Accepting new patients

Locations

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

Organizations & group practices 3

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": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1760137343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 CHURCHILL DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643305",
            "telephone_number": "210-250-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 CHURCHILL DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643305",
            "telephone_number": "210-250-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.