William Andrew Garriott II

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71011553A Issued in IN

Practice address

120 E Market St Ste 715D
Indianapolis, IN 46204-3237

Phone

(317) 777-1763

NPI assigned

Oct 7, 2021

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monumental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1447096003
  Medicare reassignment NPD Authorized official
• Apex Consulting LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1114668605
  Medicare reassignment NPD
• Roadways to Recovery Inc.,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford, IN
  • NPI 1740856483

  Psychiatric/Mental Health

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1780346692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 N TUXEDO ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203776",
            "telephone_number": "317-777-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MARKET ST STE 715D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043237",
            "telephone_number": "317-777-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIOTT",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011553A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300055795",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter George Garrett, MD
• Tracey A Garrett, RN
• Vanessa Garrett, RN
• Karen Lizeth Garrido Velez, NP
• Seth Richard Garries, PHARMD
• Melissa Garris, LMT
• Garrison & Partridge Northeast Oral and Maxillof (Northeast Oral & Maxillofacial Surgery)
• Brent Thomas Garrison, D.D.S, M.S.D.
• Clinton Matthew Garrison, DO
• Courtney Garrison

• Psychiatric/Mental Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.