Individual provider Active NPI

Kristen Peterman Williams, CRNP

  • Family Nurse Practitioner
  • Troy, AL
National Provider Identifier
1972027522
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-138859 Issued in AL
Practice address
801 S Franklin Dr
Troy, AL 36081-3838
Phone
(334) 566-9800
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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 1-138859 AL Primary

Addresses

Primary practice location

801 S Franklin Dr
Troy, AL 36081-3838

Mailing address

110 Woodley Ave
Troy, AL 36081-4536
Phone (334) 805-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180509002657 AL Practitioner - Nurse Practitioner 9032473541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Health Associates LLCGroup PAC ID 3476570912, 11 clinicians

Practice addresses (Care Compare)

801 S Franklin Dr
Troy, AL 36081-3838
Phone (334) 566-9800

Hospital & facility affiliations

  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-138859ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Health Associates LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

801 S Franklin Dr
Troy, AL 36081
Phone (334) 566-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19802/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristen.williams.1@19802.direct.athenahealth.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.

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1972027522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODLEY AVE",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360814536",
            "telephone_number": "334-805-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTEN",
        "middle_name": "PETERMAN",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-138859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.