Natasha A Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704313092 Issued in MI

Practice address

664 Clyde Lee Dr
Traverse City, MI 49696-8651

Phone

(231) 818-1656

NPI assigned

Aug 30, 2022

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Traverse Health Clinic and Coalition

  dba Traverse Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Traverse City, MI
  • NPI 1467632059
  NPD
• Traverse Health Clinic and Coalition

  dba Mobile Medical Van

  • Federally Qualified Health Center (FQHC)
  • Traverse City, MI
  • NPI 1831866821
  NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1215657333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 CLYDE LEE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968651",
            "telephone_number": "231-818-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 CLYDE LEE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968651",
            "telephone_number": "231-818-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NATASHA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704313092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Hubbard Williams III
• Charles Paul Williams, MD
• Drew Reyner Williams
• Mary Kay Williams, NURSE PRACTITIONER
• Mary Lou Williams, M.A.
• Ian Daniel Williamson
• Jason Lee Williamson, PHARM.D.
• Shania Willingham
• Alexis Willms
• Grace Willow, N.C.T.M.B.

• Family Nurse Practitioner in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.

Verify at the official NPI Registry.