Individual provider Active NPI

Funmi Williams, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1013653690
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
793313 Issued in NY
Practice address
15 Paerdegat 2ND St
Brooklyn, NY 11236-6053
Phone
(718) 510-5660
Fax
(515) 593-1201
NPI assigned
May 7, 2022
Last updated
May 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 793313 NY Primary

Addresses

Primary practice location

15 Paerdegat 2ND St
Brooklyn, NY 11236-6053

Mailing address

15 Paerdegat 2ND St
Brooklyn, NY 11236-6053
Phone (718) 510-5660

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
793313NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Home Care Agency LLC Current Accepting new patients
Diamond Home Health Agency Inc CurrentSince May 16, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1013653690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PAERDEGAT 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112366053",
            "telephone_number": "718-510-5660",
            "fax_number": "515-593-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PAERDEGAT 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112366053",
            "telephone_number": "718-510-5660",
            "fax_number": "515-593-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "FUNMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "793313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.