Active NPI
Mishael Siyoni Williams
- Driver
- Aurora, CO
National Provider Identifier
1003480732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 10-274-0589
- Practice address
- 23029 E Ottawa Dr # 8-102
Aurora, CO 80016-5422 - Phone
- (720) 355-8034
- NPI assigned
- May 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 10-274-0589 | CO | Primary |
Addresses
Primary practice location
23029 E Ottawa Dr # 8-102
Aurora, CO 80016-5422
Mailing address
23029 E Ottawa Dr # 8-102
Aurora, CO 80016-5422
Phone (720) 355-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-274-0589 | CO | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamsnorris Industries | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Aurora, CO
- NPI 1952978322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1003480732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23029 E OTTAWA DR # 8-102",
"city": "AURORA",
"state": "CO",
"postal_code": "800165422",
"telephone_number": "720-355-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23029 E OTTAWA DR # 8-102",
"city": "AURORA",
"state": "CO",
"postal_code": "800165422",
"telephone_number": "720-355-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MISHAEL",
"middle_name": "SIYONI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CO",
"license": "10-274-0589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.