Douglas Andrew Williams, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

475247-01 Issued in NY

Practice address

111 Westfall Rd
Rochester, NY 14620-4680

Phone

(585) 753-6000

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• County of Monroe

  • Public Health or Welfare Agency
  • Rochester, NY
  • NPI 1447393632
  NPD (past)
• Monroe County Health Department

  • Radiology Clinic/Center
  • Rochester, NY
  • NPI 1629419973
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1073201703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WHITE OAK BND",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245014",
            "telephone_number": "760-391-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204680",
            "telephone_number": "585-753-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOUGLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "475247-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedra Williams, LPN
• Desaray Williams
• Devin M Williams, MD, MPH
• Diana R. Williams, MD
• Dominique Williams
• Ebony Latasha Williams, LPN
• Elysia M Williams
• Hannah C Williams, NP
• Isaac Williams
• Jacqueline Ann Williams, RDN

• Community Health Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.