Individual provider Active NPI

Cathy Sue Williams, NP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1881279651
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181117 Issued in VA
Practice address
5839 Harbour View Blvd Ste 100a
Suffolk, VA 23435-3797
Phone
(757) 397-4200
Fax
(757) 397-3872
NPI assigned
Mar 13, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024181117 VA
Family Nurse Practitioner 363LF0000X 0024181117 VA Primary

Addresses

Primary practice location

5839 Harbour View Blvd Ste 100a
Suffolk, VA 23435-3797

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

3452 Saint Clair Dr
Chesapeake, VA 23321-4834
Phone (757) 706-1409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726002033 VA Practitioner - Nurse Practitioner 4486057650 Reassigns benefits to 1 organization
I20240815001864 TX Practitioner - Nurse Practitioner 4486057650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Term Health Careline CorpGroup PAC ID 2264882950, 10 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

3650 S I
Suite 35
Waxahachie, TX 75165-5427
Phone (972) 937-7320

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181117VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LTHC Solutions LLC CurrentSince Jul 1, 2024 Accepting new patients
Pallicare, Inc CurrentSince Oct 28, 2025 Accepting new patients
Long Term Health Careline Corp CurrentSince Jul 1, 2024 Accepting new patients
Peninsula Cancer Institute LLC CurrentSince Aug 9, 2021 Accepting new patients
Peninsula Cancer Institute LLC Past Accepting new patients

Locations

230 S Clark Rd
Cedar Hill, TX 75104
Phone (972) 291-7877

2035 Granbury St
Cleburne, TX 76033
Phone (817) 514-5282

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

101 Reese Dr
Red Oak, TX 75154
Phone (469) 552-0500

3650 S Interstate Highway 35 E
Waxahachie, TX 75165
Phone (972) 875-9051

110 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 436-2995

110 Wimbledon Sq
Ste E1
Chesapeake, VA 23320
Phone (757) 436-2995

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

5839 Harbour View Blvd
Ste 100
Suffolk, VA 23435
Phone (757) 397-4200

5839 Harbour View Blvd
Ste 100A
Suffolk, VA 23435
Phone (757) 397-4200

1200 First Colonial Rd
Ste 204A
Virginia Beach, VA 23454
Phone (757) 363-8212

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-3031

Interoperability endpoints

  • Direct secure messaging: cathy.williams.1@26850.direct.athenahealth.com

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.

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": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1881279651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 100A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-397-4200",
            "fax_number": "757-397-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3452 Saint Clair Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233214834",
            "country_code": "US",
            "telephone_number": "757-706-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CATHY",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024181117",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.