Individual provider Active NPI

Marie Berton Williams, CRNFA

  • Registered Nurse First Assistant
  • Ormond Beach, FL
National Provider Identifier
1245376839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
89722-2 Issued in FL
Practice address
130 Rodeo Rd
Ormond Beach, FL 32174-7928
Phone
(386) 677-0762
Fax
(386) 677-0762
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 89722-2 FL Primary

Addresses

Primary practice location

130 Rodeo Rd
Ormond Beach, FL 32174-7928

Mailing address

130 Rodeo Rd
Ormond Beach, FL 32174-7928
Phone (386) 677-0762

Other names 1

  • Ms. Marie Louise Williams Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89722-2FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245376839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RODEO RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747928",
            "telephone_number": "386-677-0762",
            "fax_number": "386-677-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RODEO RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747928",
            "telephone_number": "386-677-0762",
            "fax_number": "386-677-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIE",
        "middle_name": "BERTON",
        "name_prefix": "Ms.",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "89722-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "WILLIAMS",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "CRNFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.