Active NPI
Natelie C. Williams, CRNP
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1104461177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R231970
- Practice address
- 22 S Greene St
Baltimore, MD 21201 - Phone
- (410) 328-7877
- Fax
- (410) 328-1048
- NPI assigned
- Nov 13, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R231970 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040
Other practice location 1
22 S Greene St Ste N3W77
Baltimore, MD 21201-1590
Phone (410) 328-6056
Other practice location 2
419 W Redwood St Ste 520
Baltimore, MD 21201-7001
Phone (410) 328-6056
Other practice location 3
419 W Redwood St Ste 520
Baltimore, MD 21201-7001
Phone (410) 328-7877
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R231970 | MD | MD | Family Nurse Practitioner |
Interoperability endpoints
- natelie.williams.1@28492.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1104461177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-8040",
"fax_number": "443-462-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St Ste N3W77",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011590",
"country_code": "US",
"telephone_number": "410-328-6056",
"fax_number": "410-328-7639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 W Redwood St Ste 520",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212017001",
"country_code": "US",
"telephone_number": "410-328-6056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 W Redwood St Ste 520",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212017001",
"country_code": "US",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NATELIE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R231970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.