Individual provider Active NPI

Anna Margaret Williams, APRN, FNP-C

  • Family Nurse Practitioner
  • Livingston, TN
National Provider Identifier
1770009250
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22981 Issued in TN
Practice address
4120 Bradford Hicks Dr
Livingston, TN 38570-2213
Phone
(931) 823-5603
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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 22981 TN Primary

Addresses

Primary practice location

4120 Bradford Hicks Dr
Livingston, TN 38570-2213

Mailing address

156 Ensor Dr
Cookeville, TN 38501-3905

Other identifiers 2

IdentifierTypeStateIssuer
APN0000022981OtherTNAPRN LICENSE
Q033643MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20171215002502 TN Practitioner - Nurse Practitioner 3577821768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Cumberland Otolaryngology Clinic, PCGroup PAC ID 1850487158, 6 clinicians

Practice addresses (Care Compare)

100 W 4TH St
Suite 200
Cookeville, TN 38501-2452
Phone (931) 528-1575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cumberland Otolaryngology Clinic, PC CurrentSince Feb 21, 2022 Accepting new patients
The Cookeville Surgery Center PastSince Feb 21, 2022 Accepting new patients

Locations

100 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 528-1575

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCECD

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 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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1770009250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 ENSOR DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BRADFORD HICKS DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385702213",
            "telephone_number": "931-823-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANNA",
        "middle_name": "MARGARET",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APN0000022981",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033643",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

Verify at the official NPI Registry.