Individual provider Active NPI

Sherri Fontaine Williams, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1912494451
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139854 Issued in TX
Practice address
3014 Wichita St
Houston, TX 77004-7720
Phone
(713) 202-6982
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 AP139854 TX Primary

Addresses

Primary practice location

3014 Wichita St
Houston, TX 77004-7720

Mailing address

2810 Junction Dr
Houston, TX 77045-6554
Phone (713) 202-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, VA, NV, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20191107001165 TX Practitioner - Nurse Practitioner 4587096821 Reassigns benefits to 1 organization
I20240507002530 MO Practitioner - Nurse Practitioner 4587096821 Reassigns benefits to 1 organization
I20240911003226 VA Practitioner - Nurse Practitioner 4587096821 Reassigns benefits to 1 organization
I20240912002200 NV Practitioner - Nurse Practitioner 4587096821 Reassigns benefits to 1 organization
I20251103001058 IN Practitioner - Nurse Practitioner 4587096821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Procenture LLC CurrentSince Jul 9, 2019 Accepting new patients

Locations

2311 Canal St
Ste 214
Houston, TX 77003
Phone (281) 915-1630

Interoperability endpoints

  • Direct secure messaging: swilliams21381@carelonhealth.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1912494451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 JUNCTION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456554",
            "telephone_number": "713-202-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 WICHITA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047720",
            "telephone_number": "713-202-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERRI",
        "middle_name": "FONTAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.