Individual provider Active NPI

Joyce Elaine/Raby Williams, FNP

  • Family Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1851542617
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN082618 AP04836 Issued in LA
Practice address
313 Bienville Dr
Gretna, LA 70056-7310
Phone
(504) 390-3352
Fax
(504) 903-4789
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN082618 AP04836 LA Primary

Addresses

Primary practice location

313 Bienville Dr
Gretna, LA 70056-7310

Mailing address

313 Bienville Dr
Gretna, LA 70056-7310
Phone (504) 390-3352

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
I20100215000788 LA Practitioner - Nurse Practitioner 2163566126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Outpatient Medical Center, Inc.Group PAC ID 5597651794, 10 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1640 Breazeale Springs St
Nachitoches, LA 71457-4278
Phone 31835720713205

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

908 S 10TH St
Suite B
Leesville, LA 71446-4614
Phone (318) 574-1453

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN082618 AP04836LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Medical Center, Inc. Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients
Outpatient Medical Center, Inc. Nurse Practitioner Past Accepting new patients

Locations

908 S 10th St
#B
Leesville, LA 71446
Phone (337) 238-1274

1500 Gold St
Natchitoches, LA 71457
Phone (318) 352-2369

1640 Breazeale Springs St
Natchitoches, LA 71457
Phone (318) 352-9299

804 N Beech St
Tallulah, LA 71282
Phone (318) 574-1453

Interoperability endpoints

  • Direct secure messaging: joyce.williams.1@29100.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1851542617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BIENVILLE DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567310",
            "telephone_number": "504-390-3352",
            "fax_number": "504-903-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BIENVILLE DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567310",
            "telephone_number": "504-390-3352",
            "fax_number": "504-903-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOYCE",
        "middle_name": "ELAINE/RABY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN082618 AP04836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.