Individual provider Active NPI

Terrie Tunstall Williams, PA

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1962521914
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03731 Issued in TX
Practice address
14903 El Camino Real
Houston, TX 77062-2603
Phone
(281) 486-7900
Fax
(281) 286-8110
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03731 TX Primary

Addresses

Primary practice location

14903 El Camino Real
Houston, TX 77062-2603

Mailing address

14903 El Camino Real
Houston, TX 77062-2603
Phone (281) 486-7900

Other identifiers 1

IdentifierTypeStateIssuer
PA03731OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TERRIE.WILLIAMS@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040615000488 TX Practitioner - Physician Assistant 9638153083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1045 Gemini St
Suite 200B
Houston, TX 77058-2806
Phone (281) 461-6830

1140 Business Ctr Dr
Suite 490
Houston, TX 77043-2741
Phone (713) 932-1247

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

251 W Medical Ctr Blvd
Suite 300
Webster, TX 77598-4246
Phone (281) 486-7900

450 W Med Ctr Blvd
Webster, TX 77598-4233

500 W Medical Ctr Blvd
Clear Lake Reg Med Center
Webster, TX 77598-4220
Phone (281) 322-2511

502 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2433

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962521914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "281-486-7900",
            "fax_number": "281-286-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "281-486-7900",
            "fax_number": "281-286-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERRIE",
        "middle_name": "TUNSTALL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA03731",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TERRIE.WILLIAMS@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "14903 El Camino Real",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770622603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.