Active NPI
Noelle Ann Brickman Williams, CRNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1225194152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R062605
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-5720
- Fax
- (410) 328-1897
- NPI assigned
- Dec 28, 2006
- Last updated
- Feb 4, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R062605 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-5720
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415687100 | Medicaid | MD | |
| 1225194152 | Medicaid | DE | |
| 906414-02 | Other | MD | BLUE SHIELD - MD |
| S062-0339 | Other | MD | BLUE CHOICE - REGIONAL |
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 |
|---|---|---|---|
| R062605 | MD | MD | Nurse Practitioner |
Interoperability endpoints
- noelle@direct.meditouchehr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1225194152",
"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": "410-328-5720",
"fax_number": "410-328-1897"
},
{
"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": "212011544",
"telephone_number": "410-328-5720",
"fax_number": "410-328-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKMAN WILLIAMS",
"first_name": "NOELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R062605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415687100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225194152",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD - MD",
"identifier": "906414-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE - REGIONAL",
"identifier": "S062-0339",
"state": "MD"
}
],
"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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.