Active NPI
Carol J Williams
- Nurse Practitioner
- Richland, WA
National Provider Identifier
1083761837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007319
- Practice address
- 560 Gage Blvd
Suite 102
Richland, WA 99352-8650 - Phone
- (509) 628-1911
- Fax
- (509) 628-1987
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007319 | WA | Primary |
Addresses
Primary practice location
560 Gage Blvd
Suite 102
Richland, WA 99352-8650
Mailing address
560 Gage Blvd
Suite 102
Richland, WA 99352-8650
Phone (509) 628-1911
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Excellence in Dermatology PLLC | Past | Accepting new patients | |
| David M Ryan, D.O. | Past | Accepting new patients | |
| Endocrine Metabolism & Medicine Inc PS | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kennewick, WA
- NPI 1619034980
-
- Medical Specialty Clinic/Center
- Kennewick, WA
- NPI 1942329784
-
- Specialist
- Hermiston, OR
- NPI 1093061806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083761837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "SUITE 102",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-628-1911",
"fax_number": "509-628-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "SUITE 102",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-628-1911",
"fax_number": "509-628-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
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.