Stacey Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339471 Issued in NY

Practice address

130 Lenox Ave
New York, NY 10026-2503

Phone

(866) 389-2727

Fax

(401) 652-9787

NPI assigned

Apr 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

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.

• Williams Health - Nurse Practitioner in Family Health PLLC

  • Clinic/Center
  • Bronx, NY
  • NPI 1144790189

  Family

  Medicare reassignment NPD Authorized official
• Beacon Place LLC

  • Adult Day Care Clinic/Center
  • Highland Mills, NY
  • NPI 1326429630
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Sentinel Services Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Valley, NY
  • NPI 1144891375
  Medicare reassignment NPD

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1285951657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593009",
            "telephone_number": "718-764-1570",
            "fax_number": "718-764-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262503",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045900-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda Williams, RN
• Sharon Lynn Williams, MSED
• Shawna Williams
• Shemelly Williams
• Sophie Paige Williams
• Stanley Williams
• Stephanie Nicole Williams, MD
• Stephen Kayode Williams, M.D.
• Susan Eleanor Williams, M.D.
• Talecia Moesha Williams, FNP

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.