Active NPI
Mary Kaye Williams, APNP
- Family Nurse Practitioner
- Mequon, WI
National Provider Identifier
1144415068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1002-033
- Practice address
- 11270 N Port Washington Rd
Mequon, WI 53092-3410 - Phone
- (866) 825-3227
- Fax
- (484) 450-2617
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1002-033 | WI | Primary |
Addresses
Primary practice location
11270 N Port Washington Rd
Mequon, WI 53092-3410
Mailing address
161 Washington St
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428-2083
Phone (484) 351-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002-033 | Other | WI | APNP LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002-033 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1144415068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST",
"address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "484-351-3200",
"fax_number": "484-450-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11270 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923410",
"telephone_number": "866-825-3227",
"fax_number": "484-450-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARY",
"middle_name": "KAYE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1002-033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APNP LICENSE",
"identifier": "1002-033",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.