Individual provider Active NPI

Tashawna Williams, NP

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1770142853
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG03190068 Issued in RI
Practice address
650 Branch Ave Ste 6
Providence, RI 02904-1728
Phone
(401) 233-5055
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG03190068 RI Primary

Addresses

Primary practice location

650 Branch Ave Ste 6
Providence, RI 02904-1728

Mailing address

153 New St
North Providence, RI 02904-4129

Other practice location 1

186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20190812002106 RI Practitioner - Nurse Practitioner 0941537070 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG03190068RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center Current Accepting new patients
Alignmed Partners, PC CurrentSince Jul 12, 2019 Accepting new patients
Concertocare Medical Group of Rhode Island, PC CurrentSince Jul 18, 2024 Accepting new patients
Thundermist Health Center CurrentSince Aug 3, 2020 Accepting new patients
Thundermist Health Center CurrentSince Aug 3, 2020 Accepting new patients
Osh - Ri Physicians Group, PC CurrentSince Jan 22, 2024 Accepting new patients

Locations

811 Main St
#7
Kansas City, MO 64105

10 Woodland Dr
Coventry, RI 02816
Phone (401) 438-3250

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

712 Broad St
Providence, RI 02907
Phone (401) 233-5060

650 Branch Ave
Ste 6
Providence, RI 02904
Phone (401) 233-5055

660 Commonwealth Ave
Warwick, RI 02886
Phone (401) 691-4511

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

Interoperability endpoints

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

Organizations & group practices 6

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1770142853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 NEW ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BRANCH AVE STE 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041728",
            "telephone_number": "401-233-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Providence St",
            "address_purpose": "LOCATION",
            "city": "West Warwick",
            "state": "RI",
            "postal_code": "028932508",
            "country_code": "US",
            "telephone_number": "401-615-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TASHAWNA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "AG03190068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.