Christiana E Williams, APRN-CNP
Individual provider Active NPI Nurse Practitioner · Oklahoma City, OK
NPI 1821155490 · NPPES record last updated Mar 13, 2012
Key facts
- NPI
- 1821155490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ROO58523 (OK)
- Practice address
- 1024 SW 44TH St
Suite 800
Oklahoma City, OK 73109-3614 - Phone
- (405) 702-9050
- Fax
- (405) 702-9061
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1024 SW 44TH St
Suite 800
Oklahoma City, OK 73109-3615
Phone (405) 702-9050
Hospital & facility affiliations
- Jefferson Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090224000264 | OK | Practitioner - Nurse Practitioner | 4486719598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ROO58523 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients |
Interoperability endpoints
- cbuford@providencefamilypracticepllc.amazing-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ROO58523 | OK | Yes |
Addresses
Primary practice location
1024 SW 44TH St
Suite 800
Oklahoma City, OK 73109-3614
Mailing address
2913 Highland GLN
Norman, OK 73069-8360
Phone (405) 364-2110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200087300A | Medicaid | OK |
Other providers in Oklahoma City, OK
- Candace Leigh Williams
- Carlesha Celeste Williams
- Carlos Williams
- Casey Williams
- Charles Alexander Williams II
- Christopher L Williams
- Christopher Lamont Williams
- Cinda Dawn Williams
- Curtis Brian Williams
- Cymirah Williams
All providers in Oklahoma City, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.