Tina Iesha Williams

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

AG12220078 Issued in IN

Practice address

8416 Taft St
Merrillville, IN 46410-6122

Phone

(219) 750-9010

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novenza Practice Group IIGroup PAC ID 3678057312, 16 clinicians

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

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 and National Provider Directory roles.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Novenza Practice Group II

  • Geriatric Medicine (Internal Medicine) Physician
  • Greenwood, IN
  • NPI 1417806068
  Medicare reassignment Care Compare group
• Modern Vascular and Vein Center LLC

  • Vascular & Interventional Radiology Physician
  • Merrillville, IN
  • NPI 1487176004
  Medicare reassignment NPD
• Hope Home Health Care, Inc.

  • Home Health Agency
  • Merrillville, IN
  • NPI 1477873081
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1841998374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106122",
            "telephone_number": "708-310-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106122",
            "telephone_number": "219-750-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TINA",
        "middle_name": "IESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28222770A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013750A",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IN",
            "license": "AG12220078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah H Williams
• Miosha Williams, LMHC
• Ronald Williams, MS
• Sharon Renee Williams
• Tia Simone Williams, LPN
• Kayley Willis
• Ronda Lynn Wilson-Carr, LCSW
• Chelsea Wilson
• David M. Wilson, AT
• John Fraser Wilson, M.D.

• Gerontology Registered Nurse in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Gerontology Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.