Individual provider Active NPI

Emily C Williams, CFNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1295962892
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
613240 Issued in NY
Practice address
75 Remit Dr # 1248
Chicago, IL 60675-1248
Phone
(866) 916-5259
Fax
(231) 922-4030
NPI assigned
Jun 22, 2009
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 613240 NY
Nurse Practitioner 363L00000X 613240 NY Primary

Addresses

Primary practice location

75 Remit Dr # 1248
Chicago, IL 60675-1248

Mailing address

75 Remit Dr # 1248
Chicago, IL 60675-1248
Phone (866) 916-5259

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090826000652 NY Practitioner - Nurse Practitioner 0446305528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone (607) 339-0625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
613240NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ithaca Medical Services PLLC CurrentSince Aug 1, 2022 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Oct 1, 2025 Accepting new patients
Cma Medical Practice PLLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

209 W State St
Ithaca, NY 14850
Phone (607) 257-5263

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

8 Brentwood Dr
Ste D
Ithaca, NY 14850
Phone (607) 257-5263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1295962892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1248",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751248",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1248",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751248",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "613240",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "613240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.