Active NPI
Marie A Williams, NP
- Nurse Practitioner
- Carbondale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 320060-1
- Practice address
- 30-32 N Main St
Carbondale, PA 18407-2304 - Phone
- (570) 282-1732
- NPI assigned
- Nov 2, 2005
- 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 | 320060-1 | NY | Primary |
Addresses
Primary practice location
30-32 N Main St
Carbondale, PA 18407-2304
Mailing address
30-32 N Main St
Carbondale, PA 18407-2304
Phone (570) 282-1732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02707257 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320060-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Pennsylvania | Current | Accepting new patients | |
| Merakey Pennsylvania | Current | Accepting new patients | |
| B-K Health Center, Inc | Current | Accepting new patients | |
| B-K Health Center, Inc | Current | Accepting new patients | |
| Merakey Pennsylvania | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
30-32 N Main St
Carbondale, PA 18407
Phone (570) 282-1732
127 Route 106
Greenfield Township, PA 18407
Phone 57027875001012
25066 State Route 11
Hallstead, PA 18822
Phone (570) 879-5249
4391 Sturbridge Dr
Harrisburg, PA 17110
Phone (717) 441-9457
840 Main St
Honesdale, PA 18431
Phone (570) 253-0321
620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327
498 S Main St
Ste D
Montrose, PA 18801
Phone (570) 278-7500
1151 Pocono Blvd
Mount Pocono, PA 18344
Phone (570) 243-8787
2380 Elk Lake School Rd
Springville, PA 18844
Phone (570) 278-1106
Interoperability endpoints
- mwilliams@nepachc.medentdirect.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Montrose, PA
- NPI 1619352978
-
- Community/Behavioral Health Agency
- Mount Pocono, PA
- NPI 1780830034
-
- Federally Qualified Health Center (FQHC)
- Hallstead, PA
- NPI 1245272707
-
- Community/Behavioral Health Agency
- McKeesport, PA
- NPI 1003931924
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467252536
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1093706780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30-32 N MAIN ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072304",
"telephone_number": "570-282-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30-32 N MAIN ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072304",
"telephone_number": "570-282-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARIE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "320060-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02707257",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.