TINA DENISE WILLIAMS FNP NPI 1154659100

NPI Information

  • NPI: 1154659100
  • Provider Name: TINA DENISE WILLIAMS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3385 AIRWAYS BLVD STE 304
    MEMPHIS, TN
    ZIP 38116
  • Phone: (901) 746-8078

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NPI Details

Tina Denise Williams, FNP is a family nurse practitioner in Memphis, TN with 16 years of experience. Tina Denise Williams, FNP NPI is 1154659100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3385 AIRWAYS BLVD STE 304
MEMPHIS, TN
ZIP 38116-841
Phone: (901) 746-8078
Fax: (901) 746-8943

The NPI 1154659100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 12/3/2009 and was last updated on 5/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA810532MISSISSIPPINo
2363LF0000XNurse PractitionerFamily146549TENNESSEEYes
3363LF0000XNurse PractitionerFamily151209TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q022344MEDICAIDTENNESSEE
21528450MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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