REGINA A WILLIAMS (NPI# 1053424093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053424093 |
| Entity Type | Individual |
| Full Name | REGINA A WILLIAMS |
| Credential | CNP |
| Practice Address |
200 Hospital Dr Tylertown MS 39667-2020 |
| Mailing Address |
Po Box 677 Tylertown MS 39667-0677 |
| Practice Telephone | 6018765303 |
| Practice Fax Number | 6018760653 |
| Mailing Telephone | 6018765303 |
| Mailing Fax Number | 6018760653 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R567396 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AETNA | 4563153 | 01 |
| MS | GEHA | 1700416057 | 01 |
| AL | 891011540 | 05 | |
| MS | WINDSOR | 939084 | 01 |
| MS | 02154265 | 05 | |
| MS | RAILROAD MEDICARE | P01087216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1346888120 | Regina Williams | Nursing Care | 318 N Cooper Ave, Lockland, OH 45215-2921 | 2019-12-12 |
| 1861854770 | Regina Williams | Licensed Practical Nurse | 6890 Mayburn St, Dearborn Heights, MI 48127-2218 | 2016-03-22 |
| 1891129094 | Regina Gavin Williams | Counselor | 404 Wildoat Pl, Raleigh, NC 27610-2155 | 2013-08-25 |
| 1770921637 | Regina Terrell Williams | Chore Provider | 555 Highland Ave Sw, Warren, OH 44485-3606 | 2013-06-12 |
| 1699028688 | Regina T Williams | Case Manager/Care Coordinator | 901 Douglas Avenue Ste 205, Altamonte Springs, FL 32714 | 2012-10-16 |
| 1487948683 | Regina Nathania Williams | Behavioral Analyst | 4600 S Halsted, Unit 1m, Chicago, IL 60653-4243 | 2011-06-06 |
| 1689972572 | Regina Valerie Williams | Registered Nurse | 44 Parkview Ter, Cheektowaga, NY 14225-4010 | 2011-03-02 |
| 1295987667 | Regina Elizabeth Williams | Counselor | 375 Hibiscus Ln, Poplar Bluff, MO 63901-6932 | 2008-10-16 |
| 1407465123 | Regina Williams | Social Worker | 4850 Pedley Rd, Jurupa Valley, CA 92509-3966 | 2020-07-28 |
| Street Address |
200 HOSPITAL DR |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320164 | Katherine Elizabeth Schubert | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2020-03-07 |
| 1093137309 | Carol Hobgood | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2014-01-07 |
| 1982964565 | Christopher Blackwell | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2012-05-17 |
| 1407166762 | Walthall Rural Health Clinic | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-10-20 |
| 1144530403 | Walthal Rural Health Clinic | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-10-20 |
| 1518275544 | Walthall Rural Health Clinic | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-09-24 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1033433628 | Family Medicine Associates, Pa | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-03-25 |
| 1861674921 | Vonzell Osborne Williams | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2007-11-30 |
| 1720182322 | Stephanie Warner | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| 1639720717 | Tylertown Pharmacy LLC | Pharmacy | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-09-20 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1811030091 | Pamela Dillon | Nurse Practitioner | 113 Enochs St, Tylertown, MS 39667-2711 | 2007-02-15 |
| 1891320164 | Katherine Elizabeth Schubert | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2020-03-07 |
| 1740812825 | Joelle Parta Magee | Nurse Practitioner | 110 Franklinton St, Tylertown, MS 39667-2736 | 2020-02-06 |
| 1316431166 | William Michael Bird | Nurse Practitioner | 110 Franklinton St, Tylertown, MS 39667-2736 | 2018-06-15 |
| 1093137309 | Carol Hobgood | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2014-01-07 |
| 1982964565 | Christopher Blackwell | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| 1770199523 | Kenyatta Cowains | Nurse Practitioner | 9400 Goodman Rd Apt 3704, Olive Branch, MS 38654-1979 | 2020-09-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.