Misty Williams, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1117476 Issued in AL

Practice address

52 S Valley Ave Ste B
Collinsville, AL 35961-3263

Phone

(256) 524-3090

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Misty Welden Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13303/brand/1/csg/1/fhir/r4

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.

• Family First Medicine LLC

  • Family Medicine Physician
  • Rainsville, AL
  • NPI 1194905075
  Medicare reassignment NPD
• Wills Valley Family Medicine LLC

  • Family Medicine Physician
  • Collinsville, AL
  • NPI 1316103237
  Medicare reassignment NPD
• Family First Medicine LLC

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1780192765
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1912520230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 S VALLEY AVE STE B",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613263",
            "telephone_number": "256-524-3090",
            "fax_number": "256-524-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S VALLEY AVE STE B",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613263",
            "telephone_number": "256-524-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MISTY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1117476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "1117476",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "WELDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kilgore Express Pharmcy Inc
• Frances H. Koe, MD
• Julie Menk, CCC-SLP
• North East Alabama Center for Infectious Disease& Internal Medicine
• Virginia Kathleen Rutledge, CRNP
• Wills Valley Family Medicine LLC

• Family Nurse Practitioner in Collinsville, AL
• Providers in Collinsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.