Williams Nurse Practitioner Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6289P Issued in KY

Legal business name

WILLIAMS NURSE PRACTITIONER GROUP

Practice address

110 S 9TH St
Mayfield, KY 42066-2208

Phone

(270) 247-7795

Fax

(270) 247-9013

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia M. Williams, MDNPI 1952304891

Title

Sole Proprietor

Phone

(270) 247-7795

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia M Williams, M.D.

  • Family Medicine Physician
  • Mayfield, KY
  • NPI 1952304891
  NPD (past) Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1841650975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 9TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662208",
            "telephone_number": "270-247-7795",
            "fax_number": "270-247-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 9TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662208",
            "telephone_number": "270-247-7795",
            "fax_number": "270-247-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS NURSE PRACTITIONER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "270-247-7795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6289P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64247943",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Whitlock, PHARMD
• Jennifer Kaye Wilkerson, APRN
• Jessica Willhelm
• Williams Family Eye Care Inc
• Williams Medical Practice LLC
• Carla Faye Williams, LPN
• Johnny W Williams, MD
• Joseph A Williams, LCSW
• Kelly Green Williams, SLP
• Leigh Ann Williams, CSW

• Family Nurse Practitioner in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.