RANDALL BLAKE WILLIAMS (NPI# 1194365585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194365585 |
| Entity Type | Individual |
| Full Name | RANDALL BLAKE WILLIAMS |
| Practice Address |
3111 Mccann Rd Longview TX 75605-7842 |
| Mailing Address |
22732 Interstate 20 E Winona TX 75792-6906 |
| Practice Telephone | 9037531212 |
| Mailing Telephone | 9035390768 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144567 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3943 Old Jacksonville Rd, Tyler, TX 757018519 | 9035931212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1669521605 | Randall Williams | Chiropractor | 3000 Ivanrest Ave Sw, Suite D, Grandville, MI 49418-2943 | 2007-01-09 |
| 1528505864 | Randall Williams | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-01-25 |
| 1013380013 | Randall Williams | Physician Assistant | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2015-11-12 |
| 1649653171 | Randall Williams | Community Health Worker | 1825 Gilmore Ave, Lakeland, FL 33805-3017 | 2015-07-01 |
| 1700950516 | Randall Edward Williams | Dentist | 800 Wall St, Suite C, Valparaiso, IN 46383-2564 | 2006-11-20 |
| 1518076660 | Randall P Williams | Specialist | 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 | 2006-08-30 |
| 1538170238 | Randall Williams | Pathology | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-10 |
| 1245261114 | Randall S Williams | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1720030646 | Randall Earl Williams | Internal Medicine | 27750 W Highway 22, Suite 240, Barrington, IL 60010-2379 | 2006-05-17 |
| Street Address |
3111 MCCANN RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205814993 | Timothy Frank Archer | Emergency Medicine | 3111 Mccann Rd, Emergency Room, Longview, TX 75605 | 2006-01-04 |
| 1255940235 | Kristin Belt Hooper | Nurse Practitioner | 3111 Mccann Rd, Longview, TX 75605-7842 | 2020-07-27 |
| 1366815144 | Longview Er Operations LLC | Clinic/Center | 3111 Mccann Rd, Longview, TX 75605-7842 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1265030993 | Sarah Dawson | Nurse Practitioner | 2040 Eden Dr, Longview, TX 75601-3415 | 2020-10-14 |
| 1104455716 | Carol Henry | Nurse Practitioner | 287 E Cliffwood St, Longview, TX 75603-7556 | 2020-04-06 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1649821901 | Heather M Wilson | Nurse Practitioner | 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 | 2019-09-26 |
| 1942777826 | Cami Jo Tice-harouff | Nurse Practitioner | 16 Ramblewood Dr, Longview, TX 75605-3351 | 2018-10-29 |
| 1346778685 | Kyle Patrick Urbanek | Nurse Practitioner | 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 | 2017-05-31 |
| 1417481623 | Cody Castle | Nurse Practitioner | 1103 Eden Dr, Longview, TX 75605-3114 | 2017-04-13 |
| 1134570856 | Virginia Hardaway | Nurse Practitioner | 2953 Country Club Rd W, Longview, TX 75602-6861 | 2016-06-23 |
| 1275994824 | Alto Behavioral Health Services Pllc | Nurse Practitioner | 827 Lansing Switch Rd, Longview, TX 75602-7102 | 2016-03-10 |
| Find all providers in LONGVIEW | ||||
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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.