Active NPI
Nancy J. Williford, CFNP
- Nurse Practitioner
- Flowood, MS
National Provider Identifier
1871841080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R857627
- Practice address
- 4213 Lakeland Dr
Flowood, MS 39232-9212 - Phone
- (601) 420-2353
- Fax
- (601) 420-2352
- NPI assigned
- Aug 20, 2012
- Last updated
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R857627 | MS | Primary |
Addresses
Primary practice location
4213 Lakeland Dr
Flowood, MS 39232-9212
Mailing address
4213 Lakeland Dr
Flowood, MS 39232-9212
Phone (601) 420-2353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00783551 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R857627 | MS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1871841080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329212",
"telephone_number": "601-420-2353",
"fax_number": "601-420-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329212",
"telephone_number": "601-420-2353",
"fax_number": "601-420-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIFORD",
"first_name": "NANCY",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R857627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00783551",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.