Mary Virginia Williams, RN, MS, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

412931-6857 Issued in CA

Practice address

1776 Ygnacio Valley Rd Ste 208
Walnut Creek, CA 94598-3125

Phone

(925) 937-0995

NPI assigned

Nov 3, 2006

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5758/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1174602825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 CLARK LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973042",
            "telephone_number": "510-847-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "925-937-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "RN, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "412931-6857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Ashley Williams, LCSW
• Jayson Williams, HAD
• Julie Kristine Williams, PSY.D.
• Keri Williams
• Mahal Williams
• Nicholas Williams
• Revette Shavone Williams
• Sydney Lynn Williams, PA-C
• Veronica Williams
• Zakia Williams

• Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.