Individual provider Active NPI

Jennifer Williams, NP

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1962686592
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN12968 Issued in TN
Practice address
200 N Anderson LN
Suite 106
Hendersonville, TN 37075-6934
Phone
(615) 499-4545
Fax
(615) 499-4546
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN12968 TN Primary

Addresses

Primary practice location

200 N Anderson LN
Suite 106
Hendersonville, TN 37075-6934

Mailing address

313 N Main St FL 2
Ashland City, TN 37015-1347
Phone (615) 792-1911

Other practice location 1

313 N Main St Fl 2
Ashland City, TN 37015-1347
Phone (615) 792-1911

Other identifiers 2

IdentifierTypeStateIssuer
6064157OtherTNBCBS
1521894MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JENNIFER.WILLIAMS@hca1.eclinicaldirectplus.com

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12968TNMDPediatric Dentist
APN12968TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Womens Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.williams@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1962686592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST FL 2",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151347",
            "telephone_number": "615-792-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ANDERSON LN",
            "address_2": "SUITE 106",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756934",
            "telephone_number": "615-499-4545",
            "fax_number": "615-499-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 N Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Ashland City",
            "state": "TN",
            "postal_code": "370151347",
            "country_code": "US",
            "telephone_number": "615-792-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6064157",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521894",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.WILLIAMS@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "313 N Main St Fl 2",
            "city": "Ashland City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370151347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.