Individual provider Active NPI

Brenda L Williams, RN,PNP

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1952416828
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP103529 Issued in TX
Practice address
1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-7771
Phone
(806) 468-4673
Fax
(806) 468-4572
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 231174 TX
Nurse Practitioner 363L00000X AP103529 TX Primary

Addresses

Primary practice location

1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-7771

Mailing address

5012 US Hwy 75 S, Suite 300
Attn: Billing
Denison, TX 75020
Phone (806) 351-7540

Other identifiers 1

IdentifierTypeStateIssuer
1467284MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1952416828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 S, SUITE 300",
            "address_2": "ATTN: BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "806-351-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE",
            "address_2": "UNIT 1800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791187771",
            "telephone_number": "806-468-4673",
            "fax_number": "806-468-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRENDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RN,PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "231174",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP103529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467284",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.