Individual provider Active NPI

Panchetia Williams

  • Registered Nurse
  • Croton on Hudson, NY
National Provider Identifier
1265774061
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
249921 Issued in NY
Practice address
11-D Skytop Drive
Springval Apt
Croton on Hudson, NY 10520
Phone
(914) 320-3061
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 249921 NY Primary

Addresses

Primary practice location

11-D Skytop Drive
Springval Apt
Croton on Hudson, NY 10520

Mailing address

11-D Skytop Drive
Springvale Apartments
Croton-on-Hudson, NY 10520
Phone (914) 320-3061

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
249921NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1265774061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-D SKYTOP DRIVE",
            "address_2": "SPRINGVALE APARTMENTS",
            "city": "CROTON-ON-HUDSON",
            "state": "NY",
            "postal_code": "10520",
            "telephone_number": "914-320-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-D SKYTOP DRIVE",
            "address_2": "SPRINGVAL APT",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "10520",
            "telephone_number": "914-320-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PANCHETIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "249921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.