Marty J Williams, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP911A Issued in ID

Practice address

700 W. Ironwood Drive
Suite 155
Coeur D'Alene, ID 83814-2666

Phone

(208) 667-0585

Fax

(208) 667-0876

NPI assigned

Sep 16, 2007

Last updated

Dec 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mwilliams@nwsh.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coeur D'Alene Pediatrics PA

  • Pediatrics Physician
  • Coeur d'Alene, ID
  • NPI 1255496980
  NPD (past)
• Dirne Health Centers Inc

  dba Heritage Health Pediatrics Hayden

  • Federally Qualified Health Center (FQHC)
  • Hayden, ID
  • NPI 1023961299

  Nurse Practitioner

  NPD (past)
• Dirne Health Centers Inc

  dba Heritage Health Pediatrics Coeur d'Alene

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1851244024

  Nurse Practitioner

  NPD (past)
• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  NPD (past)
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1588588529
  NPD (past)

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1255527073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W. IRONWOOD DRIVE",
            "address_2": "SUITE 155",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142666",
            "telephone_number": "208-667-0585",
            "fax_number": "208-667-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. IRONWOOD DRIVE",
            "address_2": "SUITE 155",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142666",
            "telephone_number": "208-667-0585",
            "fax_number": "208-667-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARTY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-16",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP911A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808374500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Ray Williams
• Dylan Richard Williams, NP
• Joshua Levi Williams, D.M.D.
• Katarzyna Williams
• Lindsay M Williams
• Wendy Williams
• Ronda Lynn Williamson, CNM
• Angela Willy
• David Christopher Wilson, DNP, APRN, FNP-C
• Elizabeth Wilson, M.A., CCC-SLP

• Nurse Practitioner in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.