Individual provider Active NPI

Regina Faye Williams, FNP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1841720919
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09248 Issued in LA
Practice address
15481 W Club Deluxe Rd
Hammond, LA 70403-1466
Phone
(985) 543-4165
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 AP09248 LA Primary
Family Nurse Practitioner 363LF0000X AP133756 TX

Addresses

Primary practice location

15481 W Club Deluxe Rd
Hammond, LA 70403-1466

Mailing address

PO Box 61979
New Orleans, LA 70161-1979
Phone (225) 342-7867

Other identifiers 2

IdentifierTypeStateIssuer
AP133756OtherTXTX BOARD OF NURSING
F00117480OtherTXAMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220705000612 LA Practitioner - Nurse Practitioner 1951673342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15481 W Club Deluxe Rd
Tangipahoa Hammond Public Health Unit
Hammond, LA 70403-1466
Phone (985) 543-4165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health CurrentSince Mar 23, 2022 Accepting new patients
United Medical Centers Family CurrentSince Jun 13, 2017 Accepting new patients
United Medical Centers Family CurrentSince Jun 13, 2017 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Mar 23, 2022 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients

Locations

353 N 12th St
Baton Rouge, LA 70802
Phone (225) 242-4890

626 Carolina Ave
Bogalusa, LA 70427
Phone (985) 732-6615

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

120 11th Ave
Franklinton, LA 70438
Phone (985) 839-5646

15481 W Club Deluxe Rd
Hammond, LA 70403
Phone (985) 543-4165

20399 Government Blvd
Livingston, LA 70754

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

2209 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-8543

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1841720919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61979",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701611979",
            "telephone_number": "225-342-7867",
            "fax_number": "504-568-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 W CLUB DELUXE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031466",
            "telephone_number": "985-543-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REGINA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09248",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSING",
            "identifier": "AP133756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F00117480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.