Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063724383 Individual Practitioner Female Practitioner

Katie Marie Williams , CRNP

Nurse Practitioner • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Katie Williams, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Phoenix, AZ. Practice services are available at 4545 E SHEA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4545 E Shea Blvd
175

Phoenix, AZ 850283074

Telephone 8666624560
Fax 8775617566
Associated Practice Facility / Clinic
🏢 Sny Corporation Inc Facility NPI 1386654895

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
337 Specialists

Practicing in Phoenix, AZ (1459 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP010637

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Rhonda Dean , BSN-RN, JD, MSN, NP-C

Nurse Practitioner - Gerontology

NPI 1073866950

BSNRN, JD, Master of Science in Nursing, Nurse Practitioner (Certified)

Dr. Nerlige Basavaraju , MD

Internal Medicine - Geriatric Medicine

NPI 1205827680

Doctor of Medicine (M.D.)

Judy Brustein , RN, CHPN, MS, GNP

Nurse Practitioner - Gerontology

NPI 1285931121

Registered Nurse, CHPN, Master of Science, GNP

Dr. Sheryl Pearl , MD

Family Medicine

NPI 1336164235

Doctor of Medicine (M.D.)

NPI 1386952323

NURSEPRACTITIONER

Becky Broskey , NP

Nurse Practitioner - Family

NPI 1497067565

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Nurse Practitioner (License #SP010637 in PA)

👤
Provider Name / Credentials Updated May 17, 2023

Recorded as KATIE WILLIAMS, CRNP

NPI Profile Active July 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2010

Registered at 4545 E SHEA BLVD, 175, PHOENIX, AZ 850283074 (Tel: 8666624560)

📍
Updated Business Mailing Address July 02, 2010

Registered at 4545 E SHEA BLVD, 175, PHOENIX, AZ 850283074 (Tel: 8666624560)

👤
Provider Name / Credentials Updated July 02, 2010

Recorded as KATIE WIILIAMS, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2010

Clinical Nurse Specialist (License #RN562830 in PA)

🟢
Initial NPI Registration & Enumeration July 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063724383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2010
Last Update: June 28, 2024
Sole Proprietor: No

Mailing Address

4545 E Shea Blvd, 175

Phoenix, AZ 850283074

Phone: 8666624560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.