Judd Williamson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134147 Issued in TX

Practice address

1216 Ellis Ave
Lufkin, TX 75904-3326

Phone

(936) 632-6184

Fax

(936) 632-7836

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice addresses (Care Compare)

Hospital & facility affiliations

• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Williamson Family Health

  • Primary Care Clinic/Center
  • Lufkin, TX
  • NPI 1932795242
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1932639101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-632-6184",
            "fax_number": "936-632-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-632-6184",
            "fax_number": "936-632-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JUDD",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-01-13",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP134147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Fred Williams, M.D.
• Tyra Williams
• Williamson Family Health
• Hobart Reynolds Williamson, LPC
• Janice Marie Williamson, LPC
• Wendy Michelle Williamson
• Willis, Halter and Associates (Diagnostic Associates of Lukfin)
• Jaren Scott Wilson, RBT
• Robert Russell Alexander Wilson, MD
• Kristin Wimbush

• Family Nurse Practitioner in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
• 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.