Richard Williams, DNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307903 Issued in NY

Practice address

115 S Corona Ave
Valley Stream, NY 11580-6217

Phone

(718) 564-3782

NPI assigned

Nov 6, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1295277481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CORONA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806217",
            "telephone_number": "718-564-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CORONA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806217",
            "telephone_number": "718-564-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "307903",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Williams
• Mareshah Williams
• Nazel Imogene Williams, LPN
• Pauline Williams
• Raheem Mohammed Williams
• Sonia E Williams
• Tatiana A Williams
• Yvonne Williams
• Jemma Wilson, R.N.
• Natalia Wiluk, RD

• Adult Health Nurse Practitioner in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.