Organization Active NPI

Williams Health - Nurse Practitioner in Family Health PLLC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1144790189
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILLIAMS HEALTH - NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Practice address
316 E 149TH St Ste 8
Bronx, NY 10451-5602
Phone
(718) 496-7286
Fax
(718) 671-8030
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mrs. Stacey Monique Williams, FNP, PMHNPNPI 1285951657
Title
Owner
Phone
(718) 496-7286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

316 E 149TH St Ste 8
Bronx, NY 10451-5602

Mailing address

316 E 149TH St
Bronx, NY 10451-5602
Phone (718) 496-7286

Other identifiers 1

IdentifierTypeStateIssuer
025903020MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260105001772 NY Part B Supplier - Clinic/Group Practice 8123514676 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

316 E 149th St
Bronx, NY 10451
Phone (718) 496-7286

316 E 149th St
Ste 8
Bronx, NY 10451
Phone (718) 496-7286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1144790189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "718-496-7286",
            "fax_number": "718-671-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 149TH ST STE 8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "718-496-7286",
            "fax_number": "718-671-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS HEALTH - NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-496-7286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025903020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.