Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Roderickus Williams, NP

Individual provider Registered Nurse · NPI 1679965610

Mr. Roderickus Williams, NP is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2021, 5 years ago. Practices with Brentwood Acquisition-Shreveport Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8930 Bayonne Dr
Shreveport, LA 71118-2033
Phone: (318) 455-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 221798 (LA)
Registered Nurse Taxonomy 163W00000X · Licence 146918 (LA)

Record details

NPI number1679965610
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 27, 2015
Last updated in NPPESAugust 14, 2021
Certification dateAugust 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brentwood Acquisition-Shreveport Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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