Active NPI
Karen D. Williams, M.D.
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1003912080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20950
- Practice address
- 4224 S 50TH St
Omaha, NE 68117-1332 - Phone
- (402) 733-3444
- Fax
- (402) 731-0790
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20950 | NE | Primary |
Addresses
Primary practice location
4224 S 50TH St
Omaha, NE 68117-1332
Mailing address
8401 W Dodge Rd
Suite 280
Omaha, NE 68114-3451
Phone (402) 955-6877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1251 | Other | NE | BCBS |
| 47068937238 | Medicaid | NE | |
| 24593 | Other | NE | MIDLANDS CHOICE |
| 97587 | Other | IA | BCBS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20950 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's West Village Pointe - Diagnostic Services | Past | Accepting new patients | |
| Children's Physicians | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1750443503
-
- Radiologic Technologist
- Omaha, NE
- NPI 1619102613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003912080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 W DODGE RD",
"address_2": "SUITE 280",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143451",
"telephone_number": "402-955-6877",
"fax_number": "402-955-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 S 50TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171332",
"telephone_number": "402-733-3444",
"fax_number": "402-731-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAREN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "20950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1251",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068937238",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "24593",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97587",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.