ANDREA WILLIAMS (NPI# 1093193773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093193773 |
| Entity Type | Individual |
| Full Name | ANDREA WILLIAMS |
| Credential | NP |
| Practice Address |
409 W Oak St Carbondale IL 62901-1414 |
| Practice Telephone | 6185294455 |
| Practice Fax Number | 6183511287 |
| Mailing Telephone | 6185294455 |
| Mailing Fax Number | 6183511287 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
209012719 | IL | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 209012719 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1669002861 | Andrea Williams | Case Manager/Care Coordinator | 3200 Taft Park, Metairie, LA 70002-5736 | 2020-01-16 |
| 1386287977 | Andrea Janette Williams | Massage Therapist | 2440 Hwy 258n, Kinston, NC 28504-7203 | 2019-10-25 |
| 1114466869 | Andrea Michelle Williams | Psychologist | 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 | 2017-02-14 |
| 1588100697 | Andrea Denise Williams | Home Health Aide | 319 Knob Hill Dr, 227 Kilmaine Court, Jackson, MS 39209-2822 | 2017-01-12 |
| 1669923678 | Andrea Lynn Williams | Registered Nurse | 15280 Shay Cut Off Rd, Kingston, OK 73439-8149 | 2016-10-14 |
| 1265803530 | Andrea Williams | Registered Nurse | 500 Congaree Church Rd, Gadsden, SC 29052-9713 | 2015-10-13 |
| 1447664545 | Andrea Renee Williams | Emergency Medicine | 799 Farson St - Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| Street Address |
409 W OAK ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445975 | Agnes Blanche Delaney | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2005-05-27 |
| 1003466269 | Lukas Ward | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-09-18 |
| 1720632508 | Kaitlin Elizabeth Behnken | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-30 |
| 1356995401 | Cassandra Chambers | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-27 |
| 1992280598 | Corrie Lynn Farris | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2018-09-28 |
| 1497255947 | Kimberly Hankins | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2018-02-20 |
| 1689029993 | Ashley L. Brown | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-04-25 |
| 1669833026 | Jessica Milburn | Nurse Practitioner | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-03-14 |
| 1730578535 | Desiree Castonguay | Physician Assistant | 409 W Oak St, 202, Carbondale, IL 62901-1414 | 2015-01-16 |
| 1093128720 | Vadzim Chyzhyk | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287888 | Melissa Anne Fowler-coello | Nurse Practitioner | 305 W Jackson St Ste 100, Carbondale, IL 62901-1474 | 2019-07-23 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1093706780 | Marie A Williams | Nurse Practitioner | 30-32 N Main St, Carbondale, PA 18407-2304 | 2005-11-02 |
| 1598391484 | Jourdan Nikole Prehn | Nurse Practitioner | 211 Main St, Carbondale, KS 66414-9714 | 2020-03-23 |
| 1043846421 | Lindsay B Casolari | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2020-03-18 |
| 1871123067 | Hailee Elizabeth Bowlin | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-01-16 |
| 1770125817 | Jill Martin | Nurse Practitioner | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2019-10-10 |
| 1194367318 | Jessica Oakley | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2019-10-09 |
| 1427609775 | Brandi Anderson | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2019-09-26 |
| 1184196883 | Leslie Ann Hickman | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2018-12-19 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.