Individual provider Active NPI

Tawna Williams, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1831639020
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133518 Issued in TX
Practice address
1050 Big Sky Rd
Amarillo, TX 79124-1399
Phone
(806) 654-6796
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704383832 MI
Family Nurse Practitioner 363LF0000X AP133518 TX Primary

Addresses

Primary practice location

1050 Big Sky Rd
Amarillo, TX 79124-1399

Mailing address

1050 Big Sky Rd
Amarillo, TX 79124-1399
Phone (806) 654-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180822003245 TX Practitioner - Nurse Practitioner 9537418611 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Jun 19, 2021 Accepting new patients
Theoria Medical CurrentSince Sep 13, 2021 Accepting new patients
Moore County Hospital District CurrentSince Jul 20, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Jun 19, 2021 Accepting new patients
Goodside Health Medical, PLLC Past Accepting new patients

Locations

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

311 Green Ave
Palacios, TX 77465
Phone (361) 972-2511

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1831639020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BIG SKY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241399",
            "telephone_number": "806-654-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BIG SKY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241399",
            "telephone_number": "806-654-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAWNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704383832",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.