Active NPI
Casey Lynn Williams, CSFA
- Surgical Assistant
- Gatesville, TX
National Provider Identifier
1760972863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 177653
- Practice address
- 1507 W Main St
Gatesville, TX 76528-1024 - Phone
- (254) 865-2166
- Fax
- (254) 248-6306
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 154091 | TX | |
| Surgical Assistant | 246ZC0007X | 177653 | TX | Primary |
Addresses
Primary practice location
1507 W Main St
Gatesville, TX 76528-1024
Mailing address
1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cquestelle@ch.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177653 | TX | MD | Surgical Assistant |
| 154091 | TX | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1760972863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W MAIN ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281024",
"telephone_number": "254-865-2166",
"fax_number": "254-248-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W MAIN ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281024",
"telephone_number": "254-865-2166",
"fax_number": "254-248-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CASEY",
"middle_name": "LYNN",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "154091",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "177653",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cquestelle@ch.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Coryell Health Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1507 W Main St",
"city": "Gatesville",
"state": "TX",
"country_code": "US",
"postal_code": "765281024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.