Theressa Williams, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R201894 Issued in MD

Practice address

3301 Belair Rd Ste 2
Baltimore, MD 21213-1257

Phone

(443) 744-6214

NPI assigned

Dec 21, 2017

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

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PD Associates IncGroup PAC ID 5092089300, 3 clinicians

Epiphany Family Services- Maryland LLCGroup PAC ID 5092108100, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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.

• Epiphany Family Services- Maryland LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1104326487
  Medicare reassignment Care Compare group NPD
• PD Associates Inc

  • Family Nurse Practitioner
  • Catonsville, MD
  • NPI 1386160877
  Medicare reassignment Care Compare group
• Primary Elite Healthcare, LLC

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1568056802
  NPD Authorized official
• PD Associates Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
  • NPI 1801562673
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1922514348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 INGLEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347632",
            "telephone_number": "443-744-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131257",
            "telephone_number": "443-744-6214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9627 Eaves Dr",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175919",
            "country_code": "US",
            "telephone_number": "410-929-3893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Columbia 100 Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452336",
            "country_code": "US",
            "telephone_number": "410-929-3893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THERESSA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Williams
• Taylor Olivia Williams, DO
• Tekiera Williams
• Tenay E Williams
• Teshauna Williams
• Tiffany Williams
• Tonisha Williams, MS, OTR/L
• Tracey Lashawn Williams, LPN
• Trene Williams
• Trinita Williams

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.