Cassie Ann Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06201956 Issued in TN

Practice address

9219 Lee Hwy Ste 103
Ooltewah, TN 37363-4440

Phone

(423) 531-3398

NPI assigned

Aug 19, 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

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• FPSC, PLLC

  • Family Medicine Physician
  • Hixson, TN
  • NPI 1841744810
  Medicare reassignment NPD
• Kaful Double Portion Family Practice, Inc

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1386049476
  Medicare reassignment NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1962014142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 8TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111811",
            "telephone_number": "423-715-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 LEE HWY STE 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634440",
            "telephone_number": "423-531-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CASSIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F06201956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Whaley, OTR/L
• Bryan Jacob Wheat
• Hannah Elizabeth White, BSN, FNP-BC
• Kenia White, LMSW, LCSWA
• Whole Soul Healing Inc
• Terry Lee Williams Jr., D.O.
• Jeffrey Lynn Wilson, FNP-BC
• Rhonda Wilson, LPC-MHSP
• Cheryl Lynn Wiltse, O.D.
• Sarah Jessica Wingo, DPT

• Family Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.